KEVON J GOODRUM
Marital and Family Therapist


Address: 100 Elena St Apt 315, Cranston, RI 02920-4383

KEVON J GOODRUM (Credential# 1052021) is licensed (Marital and Family Therapist) with Connecticut Department of Consumer Protection. The license effective date is May 1, 2017. The license expiration date date is April 30, 2018. The license status is INACTIVE.

Business Overview

KEVON J GOODRUM is licensed with the Department of Consumer Protection of Connecticut. The credential number is #27.001542. The credential type is marital and family therapist. The effective date is May 1, 2017. The expiration date is April 30, 2018. The business address is 100 Elena St Apt 315, Cranston, RI 02920-4383. The current status is inactive.

Basic Information

Licensee Name KEVON J GOODRUM
Credential ID 1052021
Credential Number 27.001542
Credential Type Marital and Family Therapist
Business Address 100 Elena St Apt 315
Cranston
RI 02920-4383
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2012-08-01
Effective Date 2017-05-01
Expiration Date 2018-04-30
Refresh Date 2018-08-03

Office Location

Street Address 100 ELENA ST APT 315
City CRANSTON
State RI
Zip Code 02920-4383

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Competitor

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City CRANSTON
Zip Code 02920
License Type Marital and Family Therapist
License Type + County Marital and Family Therapist + CRANSTON

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Dataset Information

Data Provider Connecticut Department of Consumer Protection
Jurisdiction Connecticut
Related Datasets Connecticut Business Registrations, Connecticut Child Care Facilities

This dataset includes 1.41 million licenses issued wtih Connecticut Department of Consumer Protection (TDLR).

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