DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. GLENN LOUIS NAQUIN JR., LPC, LAC, NRP

Active Sole Proprietor

Addiction (Substance Use Disorder) Counselor · GRAY, LA

Registration Details

NPI Number
1346760972
Provider Type
Individual
Gender
Male
NPI Issued
Jun 24, 2017 (8.8670686877031 yrs)
Last Updated
Feb 18, 2026
Licenses
1594 (LA)
6510 (LA)
LA14-95911 (LA)
Sole Proprietor
Yes

Practice Information

Address
264 BLUE RIDGE DR
GRAY, LA, 703595318
Browse LA providers · Browse ZIP 70359
Phone
9852627224
Additional Specialty
Professional Counselor
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.