Ms Mary Elizabeth Cannon, LMHC,CRC,CASAC - Counselor in Montauk, NY

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Ms Mary Elizabeth Cannon, LMHC,CRC,CASAC is a Counselor - Mental Health based in Montauk, New York. Ms Mary Elizabeth Cannon is licensed to practice in New York (license number 002860-1) and her current practice location is 69 Surfside Ave, Montauk, New York. She can be reached at her office (for appointments etc.) via phone at (631) 238-5060.

NPI number for Ms Mary Elizabeth Cannon is 1164593661 and her current mailing address is Po Box 1300, 69 Surfside Ave, Montauk, New York. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1164593661.

Contact Information

Ms Mary Elizabeth Cannon, LMHC,CRC,CASAC
69 Surfside Ave,
Montauk, NY 11954-0896
(631) 238-5060
(631) 238-5060

Map and Direction


Healthcare Provider's Profile

Full NameMs Mary Elizabeth Cannon
GenderFemale
SpecialityCounselor - Mental Health
Location69 Surfside Ave, Montauk, New York
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1164593661
  • Provider Enumeration Date: 11/13/2006
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Ms Mary Elizabeth Cannon such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1164593661NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YM0800XCounselor - Mental Health 002860-1 (New York)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Mary Elizabeth Cannon is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Ms Mary Elizabeth Cannon, LMHC,CRC,CASAC
Po Box 1300, 69 Surfside Ave,
Montauk, NY 11954-0896

Ph: (631) 238-5060		Ms Mary Elizabeth Cannon, LMHC,CRC,CASAC
69 Surfside Ave,
Montauk, NY 11954-0896

Ph: (631) 238-5060

Reviews and Comments


Counselor in Montauk, NY


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