MALYNA KETTAVONG (Credential# 1255383) is licensed (Licensed Clinical Social Worker) with Connecticut Department of Consumer Protection. The license effective date is May 1, 2020. The license expiration date date is April 30, 2021. The license status is ACTIVE.
MALYNA KETTAVONG is licensed with the Department of Consumer Protection of Connecticut. The credential number is #58.008972. The credential type is licensed clinical social worker. The effective date is May 1, 2020. The expiration date is April 30, 2021. The business address is 175 Porter Rd, Hebron, CT 06248-1224. The current status is active.
| Licensee Name | MALYNA KETTAVONG |
| Credential ID | 1255383 |
| Credential Number | 58.008972 |
| Credential Type | Licensed Clinical Social Worker |
| Business Address |
175 Porter Rd Hebron CT 06248-1224 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2015-03-17 |
| Effective Date | 2020-05-01 |
| Expiration Date | 2021-04-30 |
| Refresh Date | 2020-05-01 |
| Street Address | 175 PORTER RD |
| City | HEBRON |
| State | CT |
| Zip Code | 06248-1224 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jo-ann M Connelly · Rich | 171 Porter Rd, Hebron, CT 06248-1224 | Acupuncturist | 2019-11-01 ~ 2021-10-31 |
| Nicholas R Campbell | 181 Porter Rd, Hebron, CT 06248-1224 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Ct Pregnant Dog and Cat Rescue Inc | 171 Porter Rd, Hebron, CT 06248-1224 | Animal Importer | 2019-04-26 ~ 2020-12-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Ying Li | 44 Barbers Way, Hebron, CT 06248 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Joan B Pethigal | 331 West Street, Hebron, CT 06248 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Hunter Alexis Ralston | 46 Tannery Hill Ln, Hebron, CT 06248 | Professional Counselor Associate | ~ |
| Ashley L O'neill | 65 Slocum Rd, Hebron, CT 06248 | Master's Level Social Worker | ~ |
| Elaine R Kirchherr · Lauterwasser | 39 Scarboro Rd, Hebron, CT 06248 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Julie Blier | 49 Joel Drive, Hebron, CT 06248 | Notary Public Appointment | 2019-04-01 ~ 2024-03-31 |
| Gary Silva | 85 Jones St., Hebron, CT 06248 | Medication Administration Certification | 2018-06-20 ~ 2020-06-19 |
| Hengzhe An | 32 Main St,#4, Hebron, CT 06248 | Nail Technician | ~ |
| Serge P Arel | 22 Tannery Hill Lane, Hebron, CT 06248 | Architect | 2020-08-01 ~ 2021-07-31 |
| Christine A Mattson | 73 Jan Drive, Hebron, CT 06248 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06248 | |||
| City | HEBRON |
| Zip Code | 06248 |
| License Type | Licensed Clinical Social Worker |
| License Type + County | Licensed Clinical Social Worker + HEBRON |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Rondey A Allen | Crosspoint Clinical Services, West Springfield, MA 01089 | Licensed Clinical Social Worker | ~ |
| Malyna Siv | 288 Ginger Ln, Torrington, CT 06790-2574 | Licensed Practical Nurse | 2019-12-01 ~ 2020-11-30 |
| Tameka J Kelley | CT | Licensed Clinical Social Worker | ~ |
| Brian G Jin | 15 Ivy Pl, Norwalk, CT 06854-1405 | Licensed Clinical Social Worker | 2020-04-01 ~ 2021-03-31 |
| Amy Roe | 42 School St, New London, CT 06320-4611 | Licensed Clinical Social Worker | 2020-05-01 ~ 2021-04-30 |
| Ben Locasto | P.o. Box 11, Colchester, CT 06415 | Licensed Clinical Social Worker | 2020-05-01 ~ 2021-04-30 |
| Michelle A Gramling | Psc 50 Box 242, Apo, AE 09494-0003 | Licensed Clinical Social Worker | 2020-02-01 ~ 2021-01-31 |
| Jessica L Greenshields | 12 Ovens St, Vic, 3013 | Licensed Clinical Social Worker | ~ |
| Steven Jean Paul | CT | Licensed Clinical Social Worker | ~ |
| Amy V Jaffe | 601 W End Ave, New York, NY 10024-1611 | Licensed Clinical Social Worker | 2015-07-01 ~ 2016-06-30 |
Please comment or provide details below to improve the information on MALYNA KETTAVONG.
| 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).