JACOB B BARACK Clinical Psychologist License verification

Business Entity

ACTIVE

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071021063

License Status

ACTIVE

Business

First Name

JACOB

Middle

Last Name

BARACK

Business Name

JACOB B BARACK

Original Issue Date

04/22/2025

Effective Date

04/22/2025

Expiration Date

09/30/2026

City

TACOMA

State

Zip

98402

Ever Disciplined

LastModifiedDate

04/22/2025