KIONNA TYANN WHITEHEAD
Marital and Family Therapist Associate


Address: 371 Emmett St Apt 23, Bristol, CT 06010-7776

KIONNA TYANN WHITEHEAD (Credential# 1693021) is licensed (Marital and Family Therapist Associate) with Connecticut Department of Consumer Protection. The license effective date is September 23, 2019. The license expiration date date is September 23, 2021. The license status is ACTIVE.

Business Overview

KIONNA TYANN WHITEHEAD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #27.002118-ASOC. The credential type is marital and family therapist associate. The effective date is September 23, 2019. The expiration date is September 23, 2021. The business address is 371 Emmett St Apt 23, Bristol, CT 06010-7776. The current status is active.

Basic Information

Licensee Name KIONNA TYANN WHITEHEAD
Credential ID 1693021
Credential Number 27.002118-ASOC
Credential Type Marital and Family Therapist Associate
Credential SubCategory ASOC
Business Address 371 Emmett St Apt 23
Bristol
CT 06010-7776
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2019-09-23
Effective Date 2019-09-23
Expiration Date 2021-09-23
Refresh Date 2019-09-26

Other licenses

ID Credential Code Credential Type Issue Term Status
1651411 27 Marital and Family Therapist - PENDING

Office Location

Street Address 371 EMMETT ST APT 23
City BRISTOL
State CT
Zip Code 06010-7776

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Tara M Chipman 38 Grove St, Bristol, CT 06010 Licensed Practical Nurse 2020-07-01 ~ 2021-06-30
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Competitor

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City BRISTOL
Zip Code 06010
License Type Marital and Family Therapist Associate
License Type + County Marital and Family Therapist Associate + BRISTOL

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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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