Individual
MR. MICHAEL STROM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
14500 BURNHAVEN DR, BURNSVILLE, MN 55306-4960
(651) 460-9796
(507) 687-7494
Mailing address
3913 EVERMOOR PKWY, ROSEMOUNT, MN 55068-4389
(651) 895-0558
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
MN
106S00000X
Behavior Technician
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
MN
Other
Enumeration date
03/20/2023
Last updated
06/11/2026
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