JON M WALLER
Mental Health at 56 St, Fort Lauderdale, FL

License number
Florida 9771
Issued Date
Feb 8, 2012
Effective Date
Apr 15, 2014
Expiration Date
Mar 31, 2015
Category
Health Care
Type
Registered Mental Health Counselor Intern
Address
Address 2
1811 NE 56Th St APT 1, Fort Lauderdale, FL 33308
200 Congress Park Dr STE 100, Delray Beach, FL 33445
Phone
(352) 246-4027
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

Personal information

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Name
Address
Phone
Jon Waller
716 SW 16Th Ave, Gainesville, FL 32601
(352) 303-7219
Jon Waller, age 43
3940 Palm St, Saint Augustine, FL 32084
Jon Waller
1221 2Nd St, Gainesville, FL 32601
(352) 377-0840
Jon Waller
716 16Th St, Gainesville, FL 32601
(352) 377-0840
Jon M Waller, age 43
3940 Palm St, Saint Augustine, FL 32084
(904) 826-0480

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