Idaho
Division of Occupational and Professional Licenses
BENTON MICHAEL WAGNER
Idaho Licensing Board Of Professional Counselors A - Licensed Professional Counselor
License number
LPC - 6011
Date granted
10/16/2015
Date expires
10/16/2017
Class
Idaho Licensing Board Of Professional Counselors A - Licensed Professional Counselor
Status
Current
Address
FAIRFIELD ID 83327
idaholicensing.com
ID 43725115
LAST UPDATED 2024-04-05 11:06:27 UTC
LAST UPDATED 2024-04-05 11:06:27 UTC
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