Provider Demographics
NPI:1306118526
Name:ISAKSON, JUSTINE CARON (LMHC)
Entity type:Individual
Prefix:MRS
First Name:JUSTINE
Middle Name:CARON
Last Name:ISAKSON
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 1:714B SOUTHBRIDGE STREET
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:MA
Mailing Address - Zip Code:01501
Mailing Address - Country:US
Mailing Address - Phone:774-209-4060
Mailing Address - Fax:401-489-7544
Practice Address - Street 1:714B SOUTHBRIDGE STREET
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:MA
Practice Address - Zip Code:01501
Practice Address - Country:US
Practice Address - Phone:774-209-4060
Practice Address - Fax:401-489-7544
Is Sole Proprietor?:No
Enumeration Date:2012-02-03
Last Update Date:2020-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional