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Request Phone Consultation or Appointment

If you would like to schedule a free initial 15 minute phone consultation, simply fill out and submit the form below. You can also use this form to request a formal appointment, get a referral to another counselor, or discuss speaking opportunities.

If you prefer, you can always call Northlight at any time, at 847-962-5234, or send an email to jfaith@northlightcounseling.com. Leave a detailed message, including the best time to reach you.

Name:
Phone:
Email:
Request:
Available dates & times:
Comments/Details:

Emergency Consultations

If you are in need of Emergency services, please call 1-800-273-TALK (8255), or visit the website. This is especially important if you are having thoughts of hurting yourself, or suicide.

Sending a Referral

Counseling is a private, individual decision. If you feel a friend or family member needs counseling, please go to them directly, and tell them to visit my website. If they desire, they can contact me directly.

LONG GROVE OFFICE: GURNEE OFFICE:
Long Grove Executive House
4180 Route 83, Suite 10
Long Grove, IL
[Map & Directions]
1800 Nations Drive, Suite #202
Gurnee, IL 60031
[Map & Directions]
Mailing Address:
Northlight Counseling
4180 Route 83, Suite 10
Long Grove, IL 60047

Client Forms

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