Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. MARY ELIZABETH CANNON, LMHC,CRC,CASAC
Active Sole ProprietorMS. MARY ELIZABETH CANNON, LMHC,CRC,CASAC is a Mental Health Counselor healthcare provider located in MONTAUK, New York. NPI 1164593661 is currently active in the NPPES registry. Verify at CMS.
Mental Health Counselor · MONTAUK, NY
Registration Details
- NPI Number
- 1164593661
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 13, 2006 (19.784244734763 yrs)
- Last Updated
- Jul 8, 2007
- License
-
002860-1 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
69 SURFSIDE AVEMONTAUK, NY, 119540896Browse NY providers · Browse ZIP 11954
- Phone
- 6312385060
- Fax
- 6312385060
- Primary Specialty
-
Mental Health Counselor
101YM0800X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.