Glenn Ragsdale Nuckols, LADC, LPCC
Counselor, Professional in Minneapolis, MN. Individual provider (NPI-1).
NPI number1477489698
StatusActive
Last updated in NPPESJun 23, 2026
Details
- NPI
- 1477489698
- Entity type
- Individual (NPI-1)
- Name
- Glenn Ragsdale Nuckols
- Credential
- LADC, LPCC
- Sole proprietor
- Yes
- Enumeration date
- Jun 23, 2026
- Certification date
- Jun 24, 2026
- Last updated
- Jun 23, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | 5648 | MN | Yes |
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | 306818 | MN |
Practice location
4749 Chicago Ave Ste 2bMinneapolis, MN 55407-4181
Phone 612-361-7885
Mailing address
4749 Chicago Ave Ste 2bMinneapolis, MN 55407-4181
Phone 612-361-7885
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