Provider Demographics
NPI:1679458632
Name:DION, THERESE MARIE (MA, LLPC)
Entity type:Individual
Prefix:
First Name:THERESE
Middle Name:MARIE
Last Name:DION
Suffix:
Gender:F
Credentials:MA, LLPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6233 LERNER WAY
Mailing Address - Street 2:
Mailing Address - City:LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48911-6004
Mailing Address - Country:US
Mailing Address - Phone:517-894-4929
Mailing Address - Fax:
Practice Address - Street 1:6233 LERNER WAY
Practice Address - Street 2:
Practice Address - City:LANSING
Practice Address - State:MI
Practice Address - Zip Code:48911-6004
Practice Address - Country:US
Practice Address - Phone:517-894-4929
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-08
Last Update Date:2025-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6451024412101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional