Bryan Allen Bloemendaal, MS, LAC
Bryan Allen Bloemendaal, MS, LAC is an Addiction (Substance Use Disorder) Counselor in Fargo, North Dakota. Practices as a sole proprietor. Licensed in Minnesota and North Dakota.
- Licensed in
- MN, ND
- In the registry since
- 2016
- Specialties on file
- 2
What do these letters mean?
Practice location Address checks out
4215 9th Ave SFargo, ND 58103-2018
Phone: (701) 373-8667
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Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X · Licence 1797 (ND) |
|---|---|
| Addiction (Substance Use Disorder) Counselor | Taxonomy 101YA0400X · Licence 304586 (MN) |
Record details
| NPI number | 1245784156 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MS , LAC |
| Sole proprietor | Yes |
| NPI enumerated | August 9, 2016 |
| Last updated in NPPES | August 29, 2016 |
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