Individual
KRISTEN LOUISE RADTKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC-IT, CMI
Contact information
Practice address
429 GAMMON PL, SUITE 200, MADISON, WI 53719-1053
(815) 520-6023
(608) 821-0938
Mailing address
429 GAMMON PL, SUITE 200, MADISON, WI 53719-1053
(815) 520-6023
(608) 821-0938
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2653-226
WI
Other
Enumeration date
09/07/2015
Last updated
07/21/2016
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