Individual
MARY M LENNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
126 EAST PUTNAM AVE, 2ND FL W, COS COB, CT 06807
(203) 629-0910
(203) 778-4040
Mailing address
126 EAST PUTNAM AVE, 2ND FL W, COS COB, CT 06807
(203) 629-0910
(203) 778-4040
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
0011811
NY
101YM0800X
Mental Health Counselor
Primary
001397
CT
Other
Enumeration date
12/12/2006
Last updated
07/08/2007
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