| Larry W Boomgaarden, BA, LAC-T | |
|
1000 8th St Se, Detroit Lakes, MN 56501-2819 | |
| (218) 847-0696 | |
| (218) 847-4198 |
| Full Name | Larry W Boomgaarden |
|---|---|
| Gender | Male |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 1000 8th St Se, Detroit Lakes, Minnesota |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295964518 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Larry W Boomgaarden, BA, LAC-T 1000 8th St Se, Detroit Lakes, MN 56501-2819 Ph: (218) 847-0696 | Larry W Boomgaarden, BA, LAC-T 1000 8th St Se, Detroit Lakes, MN 56501-2819 Ph: (218) 847-0696 |
Whitney Kaytlin Warren, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 921 8th St Se, Detroit Lakes, MN 56501 Phone: 218-844-9729 Fax: 218-844-7754 | |
Angela D Horner, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1301 Roosevelt Ave, Detroit Lakes, MN 56501 Phone: 218-847-4491 | |
Mrs. Erica Yvonne Hanson, MS, LPCC Counselor Medicare: Medicare Enrolled Practice Location: 211 Holmes St W Ste 302, Detroit Lakes, MN 56501 Phone: 218-847-0629 | |
Lola Marie Booth, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 921 8th St Se, Detroit Lakes, MN 56501 Phone: 218-844-9730 | |
Colton John Friesen, LPCC Counselor Medicare: Medicare Enrolled Practice Location: 928 8th St Se, Detroit Lakes, MN 56501 Phone: 218-847-1676 | |
Jessica Rae Moench, BS, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1000 8th St Se, Detroit Lakes, MN 56501 Phone: 218-847-0696 Fax: 218-847-4198 | |
Krystal Marie Ramirez, Counselor Medicare: Not Enrolled in Medicare Practice Location: 28579 Us Highway 10, Detroit Lakes, MN 56501 Phone: 218-847-1329 |