PORTIA E CARLISLE
Mental Health at Pne Lk Pkwy, Palm Coast, FL

License number
Florida 13457
Issued Date
Apr 21, 2015
Effective Date
Apr 21, 2015
Expiration Date
Mar 31, 2022
Category
Health Care
Type
Registered Mental Health Counselor Intern
Address
Address 2
121 Pine Lakes Pkwy N APT 416, Palm Coast, FL 32137
1150 Red John Rd, Daytona Beach, FL 32124
Phone
(757) 675-2038
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

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