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Individual
RENEE ANN NILSON
Active
Individual
RENEE ANN NILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MED, LMHC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH12322
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MH 12322
FLORIDA STATE LICENSE FOR LMHC
FL
Enumeration date
05/26/2009
Last updated
08/01/2014
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