Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BRIAN L BOOMGARDEN, MS CADC
ActiveBRIAN L BOOMGARDEN, MS CADC is a Mental Health Counselor healthcare provider located in MANITOWOC, Wisconsin. NPI 1871510677 is currently active in the NPPES registry. Verify at CMS.
Mental Health Counselor · MANITOWOC, WI
Registration Details
- NPI Number
- 1871510677
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 16, 2006 (20.054844809533 yrs)
- Last Updated
- Jun 3, 2008
- Licenses
-
11165 (WI)2898-123 (WI)
Practice Information
- Address
-
339 REED AVEMANITOWOC, WI, 542202020Browse WI providers · Browse ZIP 54220
- Phone
- 9203208600
- Fax
- 9203208662
- Primary Specialty
-
Mental Health Counselor
101YM0800X
- Additional Specialty
- Mental Health Counselor
Other Mental Health Counselor Providers in MANITOWOC, WI
| Name | Credential | NPI |
|---|---|---|
| MRS. PAULETTE MARIE SEARS | MS LPC | 1184630188 |
| ALECIA G KOENIG | — | 1245563824 |
| DENISE MARIE DILL | MS | 1447584339 |
| RACHEL GORDON | LPC, CSAC, CAS | 1215302237 |
| HEATHER MARIE BRUCKSCHEN | LPC, CSAC | 1831609098 |
| ROSE REED | — | 1720662018 |
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.