Indiana
Professional Licensing Agency
Theresa Lynn Blackman
Addiction Counselor
License number
86000319A
Date granted
11/29/2012
Date expires
04/01/2016
Class
Addiction Counselor
Status
Active
Address
Fort Wayne IN 46815
indianalicensing.org
ID 1822119
LAST UPDATED 2026-05-15 04:12:36 UTC
LAST UPDATED 2026-05-15 04:12:36 UTC
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