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
—
—
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
02/06/2023
Last updated
02/06/2023
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