| Doctor Name: | MARY M LENNON |
| NPI Number: | 1730249293 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LPC |
| License Number: | 0011811 |
| Business Practice Address: | 126 East Putnam Ave 2nd Fl W Cos Cob, CT - 06807 |
| Business Phone Number: | 2036290910 |
| Business Fax Number: | 2037784040 |
| Mailing Address: | 126 East Putnam Ave, 2nd Fl W COS COB |
| State: | CT |
| Postal Code: | 06807 |
| Phone Number: | 2036290910 |
| Fax Number: | 2037784040 |
| NPI Enumeration Date: | 12/12/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 0011811 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NY |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |