Individual
EDWARD KENNETH SURRIDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMFT
Contact information
Practice address
755 WINSLOW WAY E STE 303, BAINBRIDGE ISLAND, WA 98110-2483
(209) 429-5360
(442) 615-7422
Mailing address
755 WINSLOW WAY E STE 303, BAINBRIDGE ISLAND, WA 98110-2483
(360) 209-4295
(442) 615-7422
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
LF60920533
WA
106H00000X
Marriage & Family Therapist
MG60116131
WA
Other
Enumeration date
07/08/2010
Last updated
07/06/2021
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