Individual
NICOLE GAEDTKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSED, LMFT
Contact information
Practice address
2201 CEDAR RIDGE COVE, FORT WAYNE, IN 46818
(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
106H00000X
Marriage & Family Therapist
Primary
35001980A
IN
106H00000X
Marriage & Family Therapist
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Other
Enumeration date
10/08/2015
Last updated
08/19/2022
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