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 2026-05-04 09:00:40 UTC
LAST UPDATED 2026-05-04 09:00:40 UTC