Individual
MR. JOHN ROBERT GLEASON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, LCMHC, LADC
Contact information
Practice address
187 SAINT PAUL ST, BURLINGTON, VT 05401-4689
(802) 865-0534
(802) 865-0534
Mailing address
187 SAINT PAUL ST, BURLINGTON, VT 05401-4689
(802) 865-0534
(802) 865-0534
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
000358
VT
101YM0800X
Mental Health Counselor
0680000566
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1010197
—
VT
Enumeration date
08/05/2006
Last updated
09/11/2025
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