License holder summary

David Van Wagner is a Substance Abuse - Licensed Independent Substance Abuse Counselor licensed to practice in Arizona. The address on file for David Van Wagner is 202 E Ruth Ave #7, Phoenix AZ 85020. This licensed professional license is not current. The license was granted 07/01/2004 and expired on 03/31/2006.

Arizona

Board of Licensing

David Van Wagner
Substance Abuse - Licensed Independent Substance Abuse Counselor
License number
LISAC-10030
Date granted
07/01/2004
Date expires
03/31/2006
Class
Substance Abuse - Licensed Independent Substance Abuse Counselor
Status
Expired
Address
202 E Ruth Ave #7, Phoenix AZ 85020
arizonalicensing.com
ID 19624516
LAST UPDATED 2024-04-17 00:29:23 UTC

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