NPI | 1225734890 |
---|---|
Doing Business As | GAEDTKE COUNSELING LLC |
Entity Type | Organization |
Authorized Contact | NICOLE GAEDTKE Owner 260-205-8644 |
Organization Subpart ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
1041C0700X Social Worker, Clinical | |
Enumeration Date | 2023-02-06 |
Last Update Date | 2023-02-06 |