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Individual
DR. KENNETH A GLEAVES
Active
Individual
DR. KENNETH A GLEAVES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D., LCPC, NCACI
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
006460
VA
101YA0400X
Addiction (Substance Use Disorder) Counselor
2812
IL
101YP2500X
Professional Counselor
Primary
180001207
IL
Other
Enumeration date
08/29/2006
Last updated
06/20/2025
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