person
Bryan Allen Bloemendaal, MS,LAC
Addiction (Substance Use Disorder) Counselor in Fargo, North Dakota
NPI 1245784156

Bryan Allen Bloemendaal is an Addiction (Substance Use Disorder) Counselor based in Fargo, ND and is specialized in Addiction (Substance Use Disorder). Bryan Allen Bloemendaal practices in Fargo, ND and has the professional credentials of MS,LAC. The NPI Number for Bryan Allen Bloemendaal is 1245784156 and holds a License No. 304586 (North Dakota).

The current practice location address for Bryan Allen Bloemendaal is 4215 9Th Ave S, Fargo, ND and can be reached out via phone at 701-373-8667.

Location: 4215 9Th Ave S, Fargo, ND, 58104-8906
person
Provider Profile Details
NPI Number
1245784156
Provider Name
Bryan Allen Bloemendaal
Credential
MS,LAC
Provider Entity Type
Individual
Gender
Male
Address
4215 9Th Ave S, Fargo, ND, 58104-8906
Phone Number
701-373-8667
Fax Number
Provider Enumeration Date
08/09/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4215 9Th Ave S
City
State
Zip
58103-2018
Phone Number
701-373-8667
Fax Number
person
Provider Business Mailing Address Details
Address
4215 9Th Ave S
City
State
Zip
58103-2018
Phone Number
701-373-8667
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
304586 (Minnesota)
Definition
Definition to come...
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