Gleason, John Robert
Gleason, John Robert is an sole proprietor health care provider with primary practice located at 187 Saint Paul St , Burlington VT 05401-4689. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is his primary health care specialty. Gleason, John Robert can be contacted via phone (802) 865-0534.Contact Information
Primary practice address
187 Saint Paul St
Burlington VT 05401-4689
Phone: (802) 865-0534
Fax: (802) 865-0534
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 000358 | Vermont |
Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 0680000566 | Vermont |
Profile Details
NPI number | 1295744654 |
---|---|
LBN Legal business name | Gleason, John Robert |
Credentials | MS, LCMHC, LADC |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Aug 5th, 2006 |
Last updated | Jul 9th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1295744654 | NPPES |
Vermont | MEDICAID | 1010197 |
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