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Organization

COLLINS CLINICAL GROUP, P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. CALEB D COLLINS LCPC (OWNER)
(312) 399-9601
Entity
Organization

Contact information

Practice address
4433 N RAVENSWOOD AVE STE 210, CHICAGO, IL 60640-7755
(312) 399-9601
(773) 944-1057
Mailing address
4433 N RAVENSWOOD AVE STE 210, CHICAGO, IL 60640-7755
(312) 399-9601
(773) 944-1057

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180.008547
IL

Other

Enumeration date
10/21/2013
Last updated
02/18/2019
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