Individual
GLEN OGLESBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.A. LADC
Contact information
Practice address
366 PRIOR AVE N, SUITE 204, ST. PAUL, MN 55104-5165
(651) 644-4944
(651) 646-0196
Mailing address
366 PRIOR AVE N, SUITE 204, SAINT PAUL, MN 55104-5165
(651) 644-4944
(651) 646-0196
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
303172
MN
Other
Enumeration date
08/17/2015
Last updated
08/17/2015
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