Individual provider · Type 1 NPI

Glen Oglesby, M.A. LADC

Addiction (Substance Use Disorder) Counselor · St. Paul, MN

NPI number 1073989844 Active

Practice location

366 Prior Ave N, Suite 204
St. Paul, MN 55104-5165

Fax (651) 646-0196

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X303172 (MN)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1073989844

Glen Oglesby, M.A. LADC's National Provider Identifier is 1073989844, issued on Aug 17, 2015. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in St. Paul, MN. The record was last updated on Aug 17, 2015.