Provider Demographics
NPI:1083192710
Name:TILTON, CATHERINE P (LMFT)
Entity Type:Individual
Prefix:
First Name:CATHERINE
Middle Name:P
Last Name:TILTON
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:CATHERINE
Other - Middle Name:P
Other - Last Name:SCHRIJVER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMFT
Mailing Address - Street 1:3019 DUPORTAIL ST # 209
Mailing Address - Street 2:
Mailing Address - City:RICHLAND
Mailing Address - State:WA
Mailing Address - Zip Code:99352-6103
Mailing Address - Country:US
Mailing Address - Phone:509-737-4445
Mailing Address - Fax:
Practice Address - Street 1:713 JADWIN AVE STE 3
Practice Address - Street 2:
Practice Address - City:RICHLAND
Practice Address - State:WA
Practice Address - Zip Code:99352-4202
Practice Address - Country:US
Practice Address - Phone:509-737-4445
Practice Address - Fax:509-943-2129
Is Sole Proprietor?:Yes
Enumeration Date:2018-08-03
Last Update Date:2022-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALF61096121106H00000X, 106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty