person
Larry W Boomgaarden, BA,LAC-T
Addiction (Substance Use Disorder) Counselor in Detroit Lakes, Minnesota
NPI 1295964518

Larry W Boomgaarden is an Addiction (Substance Use Disorder) Counselor based in Detroit Lakes, MN and is specialized in Addiction (Substance Use Disorder). Larry W Boomgaarden practices in Detroit Lakes, MN and has the professional credentials of BA,LAC-T. The NPI Number for Larry W Boomgaarden is 1295964518 and holds a License No. (Minnesota).

The current practice location address for Larry W Boomgaarden is 1000 8Th St Se, Detroit Lakes, MN and can be reached out via phone at 218-847-0696 and via fax at 218-847-4198.

Location: 1000 8Th St Se, Detroit Lakes, MN, 56501-2819
person
Provider Profile Details
NPI Number
1295964518
Provider Name
Larry W Boomgaarden
Credential
BA,LAC-T
Provider Entity Type
Individual
Gender
Male
Address
1000 8Th St Se, Detroit Lakes, MN, 56501-2819
Phone Number
218-847-0696
Fax Number
218-847-4198
Provider Enumeration Date
07/08/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1000 8Th St Se
City
State
Zip
56501-2819
Phone Number
218-847-0696
Fax Number
218-847-4198
person
Provider Business Mailing Address Details
Address
1000 8Th St Se
City
State
Zip
56501-2819
Phone Number
218-847-0696
Fax Number
218-847-4198
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
()
Definition
Definition to come...
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