Individual
ASHLEY M RADTKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
4630 W JEFFERSON BLVD STE 4B, FORT WAYNE, IN 46804-6856
(260) 999-6956
(260) 999-6966
Mailing address
4630 W JEFFERSON BLVD, FORT WAYNE, IN 46804-6856
(260) 999-6956
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
35001825A
IN
106H00000X
Marriage & Family Therapist
Primary
—
IN
Other
Enumeration date
01/31/2012
Last updated
03/02/2021
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