Provider Demographics
NPI:1982293619
Name:DION, RICHARD RAYMOND (LPC)
Entity Type:Individual
Prefix:
First Name:RICHARD
Middle Name:RAYMOND
Last Name:DION
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 6249
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37914-0249
Mailing Address - Country:US
Mailing Address - Phone:865-343-2834
Mailing Address - Fax:
Practice Address - Street 1:1525 ROBERT HUFF LN
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37914-6255
Practice Address - Country:US
Practice Address - Phone:865-582-1055
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-17
Last Update Date:2021-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNLPC0000004977101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty