Collaborative Counseling Group of Illinois Pllc

NPI #1730810318 in Mundelein, Illinois

Provider Information

NPI Number
1730810318
Entity Type
Organization
Organization Name
Collaborative Counseling Group of Illinois Pllc
Primary Specialty
Social Worker - Clinical
Enumeration Date
Jun 23, 2022
Last Updated
Jun 23, 2022

Practice Location

Address
201 MAPLEWOOD AVE
ZIP Code
60060-4129
Phone
(847) 807-5622

Authorized Official

Name
MR. DAMIEN JACKSON, LCSW
Title
OWNER
Phone
(224) 766-9993

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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