Individual
KENNYSHKA KOUWENHOVEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
70 MAIN ST, GRISWOLD, CT 06340
(860) 469-0508
Mailing address
14 BROOKSIDE LN, GROTON, CT 06340-4302
(860) 800-4256
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
7481
CT
Other
Enumeration date
04/30/2024
Last updated
12/22/2025
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