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 2024-03-20 15:12:02 UTC
LAST UPDATED 2024-03-20 15:12:02 UTC
This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.