| Mary Susan Tieden, | |
|
201 North Nordic Drive, Petersburg, AK 99833 | |
| (907) 772-3332 | |
| (888) 858-8850 |
| Full Name | Mary Susan Tieden |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 201 North Nordic Drive, Petersburg, Alaska |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508188582 | NPI | - | NPPES |
| MH1413 | Medicaid | AK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 293 (Alaska) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mary Susan Tieden, Po Box 1309, Petersburg, AK 99833-1309 Ph: (907) 772-3332 | Mary Susan Tieden, 201 North Nordic Drive, Petersburg, AK 99833 Ph: (907) 772-3332 |
Chadwick Wright, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 201 North Nordic Drive, Petersburg, AK 99833 Phone: 907-772-3332 | |
Lea M Stanton Gregor, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 15 12th Street, Suite 212/212a, Petersburg, AK 99833 Phone: 907-650-7292 | |
Tiffany Eckles, Counselor Medicare: Not Enrolled in Medicare Practice Location: 100 Fram Street, Petersburg, AK 99833 Phone: 907-772-4963 Fax: 907-772-4964 | |
Natocha E. Lyons X, Counselor Medicare: Not Enrolled in Medicare Practice Location: 202 2nd & Gjoa, Petersburg, AK 99833 Phone: 907-772-4963 Fax: 907-772-4964 | |
Jay Stanton Gregor, Counselor Medicare: Not Enrolled in Medicare Practice Location: 15, 12th St., Petersburg, AK 99833 Phone: 907-650-7292 |