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Organization
GAEDTKE COUNSELING LLC
Active
Organization
GAEDTKE COUNSELING LLC
Active
Other names
Gaedtke Counseling LLC
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE GAEDTKE LMFT MSED (OWNER)
(260) 205-8644
Entity
Organization
Contact information
Practice address
3201 STELLHORN RD, FORT WAYNE, IN 46815-4697
(260) 205-8644
(260) 265-1706
Mailing address
5651 COVENTRY LN # 112, FORT WAYNE, IN 46804-7145
(260) 205-8644
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
NULL
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
—
NULL
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
Primary
—
NULL
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
02/06/2023
Last updated
02/06/2023
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