LARRY BOOMGAARDEN, B.A., LAC-T
Counselor - Addiction (Substance Use Disorder)
Active
Individual
NPI: 1295964518
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Counselor - Addiction (Substance Use Disorder) | 101YA0400X | Yes | - |
Frequently Asked Questions
NPI 1295964518 is the National Provider Identifier for LARRY BOOMGAARDEN, B.A., LAC-T, a Counselor - Addiction (Substance Use Disorder) provider located in Detroit Lakes, MN. This NPI was enumerated on July 8, 2009.
LARRY BOOMGAARDEN, B.A., LAC-T practices at 1000 8TH ST SE, Detroit Lakes, MN 56501.
Quick Facts
- NPI
- 1295964518
- Type
- Individual
- Enumerated
- Jul 8, 2009
- Last Updated
- May 2, 2018
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