Individual provider · Type 1 NPI

Mary Susan Tieden

Mental Health Counselor · Petersburg, AK

NPI number 1508188582 Active

Practice location

201 North Nordic Drive
Petersburg, AK 99833

Call (907) 772-3332 Map

Fax (888) 858-8850

Mailing address

PO Box 1309
Petersburg, AK 99833-1309

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X293 (AK)

Mental Health Counselor: Definition to come...

6 other providers at this address

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About NPI 1508188582

Mary Susan Tieden's National Provider Identifier is 1508188582, issued on Feb 18, 2010. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Petersburg, AK. The record was last updated on Feb 18, 2010.