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Lisa
Lisa
Nicolette
Licensed mental health counselor
Port St. Lucie, United States
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Florida Health Care Practitioner Data Portal
Full name
Lisa Nicolette
Job Title
Licensed Mental Health Counselor
Location
Port Saint Lucie
LIC ID
29052
Current License Expiration Date
31/03/2025
Original Date
14/07/2023
Professional Rank Code
MH
Effective Date
14/07/2023
Board Action Indicator
N
License Status Description
CLEAR
License Active Status Description
ACTIVE
Country Description
ST.LUCIE
Practice Location Address Line 1
1901 SW Certosa Rd.
Practice Location Address City
PORT SAINT LUCIE
Practice Location Address State
FL
Practice Location Address Zipcode
34953
Prescribing Indicator
N
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