Provider Demographics
NPI:1124393772
Name:MELANSON, MEGAN (LMHC, LCMHC)
Entity Type:Individual
Prefix:
First Name:MEGAN
Middle Name:
Last Name:MELANSON
Suffix:
Gender:F
Credentials:LMHC, LCMHC
Other - Prefix:
Other - First Name:MEGAN
Other - Middle Name:
Other - Last Name:LYONS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:163 MAMMOTH RD
Mailing Address - Street 2:
Mailing Address - City:LONDONDERRY
Mailing Address - State:NH
Mailing Address - Zip Code:03053-3626
Mailing Address - Country:US
Mailing Address - Phone:978-621-1695
Mailing Address - Fax:
Practice Address - Street 1:163 MAMMOTH RD
Practice Address - Street 2:
Practice Address - City:LONDONDERRY
Practice Address - State:NH
Practice Address - Zip Code:03053-3626
Practice Address - Country:US
Practice Address - Phone:978-621-1695
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-03-15
Last Update Date:2016-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA9285101YM0800X
NH1184101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health