License Verification

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MONIQUE BLAIR EVELYN

License Number: MH17457

Data As Of 9/24/2026

Profession
Licensed Mental Health Counselor
License
MH17457
License Status
Clear/Active
Qualifications
Qualified Supervisor MHC
License Expiration Date
3/31/2027
License Original Issue Date
10/15/2019
Address of Record
702 S. Ridgewood Avenue
DAYTONA BEACH, FL 32114
Discipline on File
No
Public Complaint
No

No secondary locations found.


Name Relationship Profession License Effective Date

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Name Relationship Profession License Effective Date
CAMERON, CHLOE A Subordinate Mental Health Counselor Intern 28679 11/14/2025
CIVITARESE, TIAMARIE Subordinate Mental Health Counselor Intern 27680 4/29/2025
DIVITO, VINCENT FRANK Subordinate Mental Health Counselor Intern 28079 7/9/2025
JN BAPTISTE, TAMAR Subordinate Mental Health Counselor Intern 29221 4/29/2026

Click on the License Number to view License Details for that Practitioner

Name Relationship Profession License Effective Date

Click on the License Number to view License Details for that Practitioner



No Continuing Education Hours Received from Approved Providers As Of 9/24/2026



* To find out more about Approved Providers, or ask a provider why the course you took is not yet listed, please visit our Continuing Education Providers page.


** Personal Development is limited to no more than 3 hours per renewal cycle. Any personal development hours in excess of this 3 hour maximum cannot be used for renewal and have been subtracted from the total available for renewal.


Please do not fax proof of Continuing Education hours to the Board Office until you have received your renewal notice in the mail.


For instructions on how to request a license certification of your Florida license to be sent to another state from the Florida Department of Health, please visit the License Certifications web page.