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Tara
Tara
Coronado
Licensed mental health counselor
Ceo
Coconut Creek,
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Florida Health Care Practitioner Data Portal
Full name
TARA CORONADO
Job Title
Licensed Mental Health Counselor
Location
Coconut Creek, FL, USA
LIC ID
17536
Current License Expiration Date
31/03/2025
Original Date
12/01/2016
Professional Rank Code
MH
Effective Date
12/01/2016
Board Action Indicator
N
License Status Description
CLEAR
License Active Status Description
ACTIVE
Country Description
BROWARD
Practice Location Address Line 1
1701 NW 23 Avenue
Practice Location Address Line 2
Room 271
Practice Location Address City
FORT LAUDERDALE
Practice Location Address State
FL
Practice Location Address Zipcode
33311
Mode Code
Qualified Supervisor MHC
Prescribing Indicator
N
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