Glenn Louis Naquin Jr., LPC, LAC, NRP
Individual provider Active NPI Professional Counselor · Gray, LA
NPI 1346760972 · NPPES record last updated Jul 6, 2026
Key facts
- NPI
- 1346760972
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 6510 (LA)
- Practice address
- 264 Blue Ridge Dr
Gray, LA 70359-5318 - Phone
- (985) 262-7224
- NPI assigned
- Jun 24, 2017
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1594 | LA | MD | Clinical Social Worker |
| LA14-95911 | LA | MD | Paramedic |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 6510 | LA | Yes |
| Paramedic | 146L00000X | LA14-95911 | LA | |
| Addiction (Substance Use Disorder) Counselor |
101YA0400X | 1594 | LA |
Addresses
Primary practice location
264 Blue Ridge Dr
Gray, LA 70359-5318
Mailing address
264 Blue Ridge Dr
Gray, LA 70359-5318
Phone (985) 262-7224
Other providers in Gray, LA
- Courtney Hawkins Malveaux
- Melissa G Marcombe
- Sierra McKay
- Mental Wellness 4U, LLC
- Lisa Boudreaux Mimnagh
- Jeanette L Naquin
- Leshecca Norman
- Paige Pipsair
- Jimmy Nolan Ponder Jr.
- Savannah Pontiff
All providers in Gray, LA · Professional Counselor in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 6, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.