Provider Demographics
NPI:1437463445
Name:RICHARD, JOHN EDMOND (LCMHC)
Entity Type:Individual
Prefix:
First Name:JOHN
Middle Name:EDMOND
Last Name:RICHARD
Suffix:
Gender:M
Credentials:LCMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27 ZEPHYR DR
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28806-2310
Mailing Address - Country:US
Mailing Address - Phone:336-451-2870
Mailing Address - Fax:
Practice Address - Street 1:34 MAXWELL ST
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28801-2311
Practice Address - Country:US
Practice Address - Phone:336-451-2870
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-08-02
Last Update Date:2024-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC8116101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health