Provider Demographics
NPI:1093233116
Name:TER HAAR, MONIQUE (LMHC)
Entity Type:Individual
Prefix:
First Name:MONIQUE
Middle Name:
Last Name:TER HAAR
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2655 WEEPING WILLOW LN
Mailing Address - Street 2:
Mailing Address - City:NAVARRE
Mailing Address - State:FL
Mailing Address - Zip Code:32566-2478
Mailing Address - Country:US
Mailing Address - Phone:850-736-7338
Mailing Address - Fax:
Practice Address - Street 1:2655 WEEPING WILLOW LN
Practice Address - Street 2:
Practice Address - City:NAVARRE
Practice Address - State:FL
Practice Address - Zip Code:32566-2478
Practice Address - Country:US
Practice Address - Phone:850-736-7338
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-09-08
Last Update Date:2023-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH14947101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health