Individual
THEODORE NASH SURDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPCC
Contact information
Practice address
1207 CALEDONIA ST, MANKATO, MN 56001-4329
(507) 388-8874
(507) 625-4807
Mailing address
1207 CALEDONIA ST, MANKATO, MN 56001-4329
(507) 388-8874
(507) 625-4807
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CC02690
MN
Other
Enumeration date
03/08/2021
Last updated
03/08/2021
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