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.

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