Individual provider · Type 1 NPI

Kenneth A. Gleaves, PhD, LCPC, NCACI

Professional Counselor · Evergreen Park, IL

NPI number 1609984764 Active

Practice location

3450 W Maple St Rm 200
Evergreen Park, IL 60805-3043

Call (708) 422-2885 Map

Fax (708) 422-7161

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X2812 (IL)
Addiction (Substance Use Disorder) Counselor 101YA0400X006460 (VA)
Professional Counselor Primary 101YP2500X180001207 (IL)

Professional Counselor: Definition to come...

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About NPI 1609984764

Kenneth A. Gleaves, PhD, LCPC, NCACI's National Provider Identifier is 1609984764, issued on Aug 29, 2006. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Evergreen Park, IL. The record was last updated on Jun 20, 2025.