License holder summary

Mary Jacob is a Substance Abuse - Licensed Independent Substance Abuse Counselor licensed to practice in Arizona. The address on file for Mary Jacob is Apache Behavioral Health Services, P.O. Box 1089, Whiteriver AZ 85941. This licensed professional license is not current. The license was granted 11/01/2004 and expired on 10/31/2006.

Arizona

Board of Licensing

Mary Jacob
Substance Abuse - Licensed Independent Substance Abuse Counselor
License number
LISAC-11780
Date granted
11/01/2004
Date expires
10/31/2006
Class
Substance Abuse - Licensed Independent Substance Abuse Counselor
Status
Expired
Address
Apache Behavioral Health Services, P.O. Box 1089, Whiteriver AZ 85941
arizonalicensing.com
ID 19620473
LAST UPDATED 2024-05-15 11:40:25 UTC

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