Provider Demographics
NPI:1962590406
Name:DURAND, TONIA L (LPC)
Entity type:Individual
Prefix:
First Name:TONIA
Middle Name:L
Last Name:DURAND
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9316 SEASONS DR
Mailing Address - Street 2:
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37421-5322
Mailing Address - Country:US
Mailing Address - Phone:423-708-2360
Mailing Address - Fax:866-466-2076
Practice Address - Street 1:9316 SEASONS DR
Practice Address - Street 2:
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37421-5322
Practice Address - Country:US
Practice Address - Phone:423-708-2360
Practice Address - Fax:866-466-2076
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-10
Last Update Date:2023-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN2944101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN2944OtherLPC
TNQ032536Medicaid