MICHAEL W NUCKOLLS
Mental Health at Ponte Vedra Lk Blvd, Ponte Vedra, FL

License number
Florida 6552
Issued Date
Nov 20, 2007
Effective Date
Apr 20, 2011
Expiration Date
Mar 31, 2009
Category
Health Care
Type
Registered Mental Health Counselor Intern
Address
Address 2
611 Ponte Vedra Lakes Blvd, Ponte Vedra, FL 32082
4500 Avenue D, Saint Augustine, FL 32095
Phone
(336) 403-7211
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

Personal information

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Name
Address
Phone
Michael Nuckolls
1924 Lake Atriums Cir, Orlando, FL 32839
(407) 438-3580

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