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

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1073989844

Glen Oglesby, MALADC is an Addiction (Substance Use Disorder) Counselor in St Paul, Minnesota. Practices as a sole proprietor. Licensed in Minnesota.

Licensed in
MN
In the registry since
2015
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Practice location Address checks out

366 Prior Ave N Ste 204
St Paul, MN 55104-5165
Phone: (651) 644-4944
Fax: (651) 646-0196
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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 303172 (MN)

Record details

NPI number1073989844
Entity typeIndividual (Type 1)
GenderMale
Credentials MALADC
Sole proprietorYes
NPI enumeratedAugust 17, 2015
Last updated in NPPESAugust 17, 2015
Mailing address366 Prior Ave N, Suite 204, Saint Paul, MN 55104-5165

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