Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Bryan Allen Bloemendaal, MS, LAC

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1245784156

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?
MS — Master of Science
A graduate science degree.
LAC — Licensed Associate Counselor
A counsellor practising under supervision toward full licensure. In some states the same letters mean Licensed Acupuncturist.

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Practice location Address checks out

4215 9th Ave S
Fargo, ND 58103-2018
Phone: (701) 373-8667
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

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 number1245784156
Entity typeIndividual (Type 1)
GenderMale
Credentials MS , LAC
Sole proprietorYes
NPI enumeratedAugust 9, 2016
Last updated in NPPESAugust 29, 2016

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