The holder whose full name is Malden, Ephphatha,come from Gary IN,hold the Clinical Addiction Counselor license(NO.87001516A) which status is Active.
| Name | Malden, Ephphatha |
|---|---|
| License Number | 87001516A |
| License Type | Clinical Addiction Counselor |
| License Status | Active |
| City | Gary |
| State | IN |