JASON F WAGNER
Mental Health at 18, Hollywood, FL

License number
Florida 4700
Issued Date
Jun 25, 2004
Effective Date
Dec 4, 2006
Expiration Date
Mar 31, 2007
Category
Health Care
Type
Registered Mental Health Counselor Intern
Address
Address 2
10941 NW 18Th St, Hollywood, FL 33026
7481 W Oakland Park Blvd SUITE 10, Fort Lauderdale, FL 33319
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

Personal information

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Name
Address
Phone
Jason Wagner, age 46
4436 Tiburon Dr, New Prt Rchy, FL 34655
Jason Wagner, age 55
5525 Timber Creek Dr, Milton, FL 32571
(850) 476-9278
Jason Wagner, age 48
51 Bannerwood Ln, Palm Coast, FL 32137
(386) 447-8595
Jason Wagner
3387 W Silver Springs Blvd, Ocala, FL 34475
(352) 629-1753
Jason Wagner
407 New York Dr, Pensacola, FL 32505

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