Individual
MICHELLE GLEASON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
731 N. 1ST ST, SUITE 5000, OPTIONAL, WAUSAU, WI 54403-4727
(715) 675-3458
Mailing address
731 N. 1ST ST, SUITE 5000, OPTIONAL, WAUSAU, WI 54403-4727
(715) 675-3458
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
8337-123
WI
1041C0700X
Clinical Social Worker
Primary
8337
WI
Other
Enumeration date
08/28/2015
Last updated
06/29/2021
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