Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Collaborative Counseling Group of Illinois PLLC

Organization Clinical Social Worker · NPI 1730810318

Collaborative Counseling Group of Illinois PLLC is a Clinical Social Worker in Mundelein, Illinois. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

201 Maplewood Ave
Mundelein, IL 60060-4129
Phone: (847) 807-5622
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X

Record details

NPI number1730810318
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Damien Jackson — Owner · (224) 766-9993
NPI enumeratedJune 23, 2022
Last updated in NPPESJune 23, 2022
Certification dateJune 23, 2022
Mailing address1 N Oplaine Rd Unit 114, Gurnee, IL 60031-0804

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