Provider Demographics
NPI:1386889095
Name:MICHAUD, JOANN CHRISTENE (LMHC - MASSACHUSETTS)
Entity type:Individual
Prefix:MS
First Name:JOANN
Middle Name:CHRISTENE
Last Name:MICHAUD
Suffix:
Gender:
Credentials:LMHC - MASSACHUSETTS
Other - Prefix:MRS
Other - First Name:JOANN
Other - Middle Name:CHRISTINE
Other - Last Name:MICHAUD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:100 LAFAYETTE SQ
Mailing Address - Street 2:
Mailing Address - City:HAVERHILL
Mailing Address - State:MA
Mailing Address - Zip Code:01832-4741
Mailing Address - Country:US
Mailing Address - Phone:703-318-2336
Mailing Address - Fax:
Practice Address - Street 1:100 LAFAYETTE SQ
Practice Address - Street 2:
Practice Address - City:HAVERHILL
Practice Address - State:MA
Practice Address - Zip Code:01832-4741
Practice Address - Country:US
Practice Address - Phone:978-987-6615
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-09
Last Update Date:2025-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA7112101YM0800X, 101YP2500X
MASTUDENT101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional