person
Dr. Kenneth A Gleaves, PHD,LCPC,NCACI
Professional Counselor in Evergreen Park, Illinois
NPI 1609984764

Kenneth A Gleaves is a Professional Counselor based in Evergreen Park, IL and is specialized in Professional. Kenneth A Gleaves practices in Evergreen Park, IL and has the professional credentials of PHD,LCPC,NCACI. The NPI Number for Kenneth A Gleaves is 1609984764 and holds a License No. 2812 (Illinois).

The current practice location address for Kenneth A Gleaves is 3450 W Maple St Rm 200, Evergreen Park, IL and can be reached out via phone at 708-422-2885 and via fax at 708-422-7161.

Location: 3450 W Maple St Rm 200, Evergreen Park, IL, 60805-3043
person
Provider Profile Details
NPI Number
1609984764
Provider Name
Kenneth A Gleaves
Credential
PHD,LCPC,NCACI
Provider Entity Type
Individual
Gender
Male
Address
3450 W Maple St Rm 200, Evergreen Park, IL, 60805-3043
Phone Number
708-422-2885
Fax Number
708-422-7161
Provider Enumeration Date
08/29/2006
Last Update Date
03/12/2024
institution
Provider Business Practice Location Address Details
Address
3450 W Maple St Rm 200
City
State
Zip
60805-3043
Phone Number
708-422-2885
Fax Number
708-422-7161
person
Provider Business Mailing Address Details
Address
3450 W Maple St Rm 200
City
State
Zip
60805-3043
Phone Number
708-422-2885
Fax Number
708-422-7161
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
006460 (Virginia)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
2812 (Illinois)
Definition
Definition to come...
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