Individual
MRS. PATRICIA A LENNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT, APRN
Contact information
Practice address
4321 FIR ST, EAST CHICAGO, IN 46312-3049
(219) 392-7722
(219) 392-7721
Mailing address
4321 FIR ST, EAST CHICAGO, IN 46312-3049
(219) 392-7721
(219) 392-7722
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
35000520A
IN
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
28053329A
IN
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
Primary
70000206A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11716755
CAQH
—
Enumeration date
01/11/2007
Last updated
10/10/2011
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