Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

LARRY W BOOMGAARDEN, B.A., LAC-T

Active

LARRY W BOOMGAARDEN, B.A., LAC-T is a Addiction (Substance Use Disorder) Counselor healthcare provider located in DETROIT LAKES, Minnesota. NPI 1295964518 is currently active in the NPPES registry. Verify at CMS.

Addiction (Substance Use Disorder) Counselor · DETROIT LAKES, MN

Registration Details

NPI Number: 1295964518
Provider Type: Individual
Gender: Male
NPI Issued: Jul 8, 2009 (17.076534099369 yrs)
Last Updated: May 2, 2018

Practice Information

Address: 1000 8TH ST SE

DETROIT LAKES, MN, 565012819
Browse MN providers · Browse ZIP 56501
Phone: 2188470696
Fax: 2188474198
Primary Specialty: Addiction (Substance Use Disorder) Counselor
101YA0400X

Other Addiction (Substance Use Disorder) Counselor Providers in DETROIT LAKES, MN

Name	Credential	NPI
EDWARD RAY PACHEL	LADC	1275711608
JAMES ARTHUR THOM	LAC	1164600599
MS. TERI ELLEN CAIN	LADC	1487822458
TERRY JO WOOD	LADC	1295984771
MS. JENNIFER REBECCA GIFFORD	MS, LADC	1447588918
JESSICA RAE MOENCH	LADC, OWNER/DIRECTOR	1104132505

Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.