Arizona
Board of Licensing
Rick Jackson
Substance Abuse - Licensed Independent Substance Abuse Counselor
License number
LISAC-11728
Date granted
09/01/2004
Date expires
08/31/2016
Class
Substance Abuse - Licensed Independent Substance Abuse Counselor
Status
Active
Address
United Healthcare Community Plan, 1 E Washington #900, Phoenix AZ 85004
arizonalicensing.com
ID 19620468
LAST UPDATED 2024-04-07 23:06:56 UTC
LAST UPDATED 2024-04-07 23:06:56 UTC