Provider Demographics
NPI:1235666348
Name:TIHINEN, MARYKATHLEEN SCHURMAN
Entity Type:Individual
Prefix:MRS
First Name:MARYKATHLEEN
Middle Name:SCHURMAN
Last Name:TIHINEN
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:MARYKATHLEEN
Other - Middle Name:BORDLEMAY
Other - Last Name:SCHURMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 3
Mailing Address - Street 2:
Mailing Address - City:DUVALL
Mailing Address - State:WA
Mailing Address - Zip Code:98019-0003
Mailing Address - Country:US
Mailing Address - Phone:425-224-5438
Mailing Address - Fax:425-224-6123
Practice Address - Street 1:15715 MAIN ST NE STE 210
Practice Address - Street 2:
Practice Address - City:DUVALL
Practice Address - State:WA
Practice Address - Zip Code:98019-8580
Practice Address - Country:US
Practice Address - Phone:425-224-6123
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-05-19
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health