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General NPI Number Information
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NPI Number | 1962149856
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Entity Type | Organization
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Legal Business Name | GLEASON COUNSELING SERVICES PLLC
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Dates
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Enumeration Date | 05/12/2022
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Last Update Date | 05/12/2022
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Provider Practice Location Address
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Address Line | 1000 HART RD STE 130
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City | BARRINGTON
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State | IL
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Zip | 60010-2668
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Country | US
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Telephone | 847-302-2662
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Fax |
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Provider Business Mailing Address
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Address Line | 1000 HART RD FL 300
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City | BARRINGTON
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State | IL
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Zip | 60010-2624
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Country | US
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Telephone | 847-302-2662
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DANIEL GLEASON
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Credential | LCPC
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Telephone | 847-302-2662
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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