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Individual

MRS. MELANIE JOAN JOHNSTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
111 N CAUSEWAY BLVD STE 205, MANDEVILLE, LA 70448-4660
(985) 674-1399
(985) 626-3252
Mailing address
111 N CAUSEWAY BLVD STE 205, MANDEVILLE, LA 70448-4660
(985) 674-1399
(985) 626-3252

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1776
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1776
LICENSED PROFESSIONAL COU
LA
Enumeration date
02/23/2007
Last updated
07/08/2007
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