License Number: MH6475

Data As Of 9/24/2023

Profession Licensed Mental Health Counselor
License MH6475
License Status CLEAR/ACTIVE
Qualifications Qualified Supervisor MHC
License Expiration Date 3/31/2025
License Original Issue Date 12/08/2000
Address of Record 5170 ANNIE RUTH STREET
MILTON, FL 32570
Discipline on File No
Public Complaint No

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