Individual
SCOTT W. RADTKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
444 N WESTHILL BLVD, APPLETON, WI 54914-5715
(920) 750-7000
(920) 364-2451
Mailing address
444 N WESTHILL BLVD, APPLETON, WI 54914-5715
(920) 750-7000
(920) 364-2451
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3445125
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40980100
—
WI
Enumeration date
09/28/2005
Last updated
11/28/2017
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