Kettavong Counseling, LLC
NPI #1285084517 in Norwich, Connecticut
Provider Information
- NPI Number
- 1285084517
- Entity Type
- Organization
- Organization Name
- Kettavong Counseling, LLC
- Primary Specialty
- Social Worker - Clinical
- Enumeration Date
- Jun 17, 2016
- Last Updated
- Aug 14, 2017
Practice Location
- Address
- 18 ONECO ST
- Address 2
- SUITE 3
- City
- Norwich
- State
- Connecticut
- ZIP Code
- 06360-3440
- Phone
- (860) 822-3208
Authorized Official
- Name
- MALYNA KETTAVONG
- Title
- OWNER
- Phone
- (860) 803-9724
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
| Counselor - Professional — Professional |
| Marriage & Family Therapist |
| Social Worker - Clinical — Clinical |
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