Provider Demographics
NPI:1508272949
Name:JOHNSTON, MELISSA M (LMHC)
Entity Type:Individual
Prefix:
First Name:MELISSA
Middle Name:M
Last Name:JOHNSTON
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:491 E WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:HANSON
Mailing Address - State:MA
Mailing Address - Zip Code:02341-1133
Mailing Address - Country:US
Mailing Address - Phone:781-312-8434
Mailing Address - Fax:
Practice Address - Street 1:491 E WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:HANSON
Practice Address - State:MA
Practice Address - Zip Code:02341-1133
Practice Address - Country:US
Practice Address - Phone:781-312-8434
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-07-07
Last Update Date:2019-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA11398101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health