Individual provider · Type 1 NPI

Larry W. Boomgaarden, B.A., LAC-T

Addiction (Substance Use Disorder) Counselor · Detroit Lakes, MN

NPI number 1295964518 Active

Practice location

1000 8th St SE
Detroit Lakes, MN 56501-2819

Call (218) 847-0696 Map

Fax (218) 847-4198

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

7 other providers at this address

Other addiction (substance use disorder) counselor providers in Detroit Lakes

See all in Detroit Lakes →

About NPI 1295964518

Larry W. Boomgaarden, B.A., LAC-T's National Provider Identifier is 1295964518, issued on Jul 8, 2009. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Detroit Lakes, MN. The record was last updated on May 2, 2018.