NICOLE E ELLIS
Mental Health at Old Ebenezer Rd, Laurel Hill, FL

License number
Florida 6310
Issued Date
Jul 12, 2007
Effective Date
Aug 18, 2016
Expiration Date
Mar 31, 2015
Category
Health Care
Type
Registered Mental Health Counselor Intern
Address
Address 2
7955 Old Ebenezer Rd, Laurel Hill, FL 32567
3686 Us Highway 331 S, Defuniak Springs, FL 32435
Phone
(850) 530-4163
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

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