Individual provider · Type 1 NPI

Ashley M. Radtke, LMFT

Marriage & Family Therapist · Fort Wayne, IN

NPI number 1629340104 Active

Practice location

4630 W Jefferson Blvd Ste 4B
Fort Wayne, IN 46804-6856

Fax (260) 999-6966

Mailing address

4630 W Jefferson Blvd
Fort Wayne, IN 46804-6856

Specialties and licenses

TaxonomyCodeLicense
Marriage & Family Therapist 106H00000X35001825A (IN)
Marriage & Family Therapist Primary 106H00000XNone listed

Marriage & Family Therapist: A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats ment…

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About NPI 1629340104

Ashley M. Radtke, LMFT's National Provider Identifier is 1629340104, issued on Jan 31, 2012. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in Fort Wayne, IN. The record was last updated on Mar 2, 2021.