Individual
MARISSA NICOLE LENNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CASAC-T
Contact information
Practice address
31 E MONTAUK HWY, HAMPTON BAYS, NY 11946-1816
(516) 733-7040
Mailing address
90 CHERRY LN, HICKSVILLE, NY 11801-6232
(516) 733-7040
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
NY
Other
Enumeration date
03/23/2023
Last updated
03/23/2023
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