Individual
MICHELLE R GLEESON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSAC, CSW
Contact information
Practice address
122 S BARSTOW ST STE 1, EAU CLAIRE, WI 54701-3642
(715) 855-1373
Mailing address
122 S BARSTOW ST STE 1, EAU CLAIRE, WI 54701-3642
(715) 855-1373
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
12739-132
WI
104100000X
Social Worker
8496-120
WI
Other
Enumeration date
12/04/2012
Last updated
12/04/2012
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