Mary Susan Tieden

NPI #1508188582 in Petersburg, Alaska

Provider Information

NPI Number: 1508188582
Entity Type: Individual
Name: Mary Susan Tieden
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Mental Health
Enumeration Date: Feb 18, 2010
Last Updated: Feb 18, 2010

Practice Location

Address: 201 NORTH NORDIC DRIVE
City: Petersburg
State: Alaska
ZIP Code: 99833
Phone: (907) 772-3332

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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