Individual provider · Type 1 NPI

Leslie Mae Raddatz, LPC, SAC-IT

Addiction (Substance Use Disorder) Counselor · Fond Du Lac, WI

NPI number 1629688726 Active

Practice location

23 W Scott St
Fond Du Lac, WI 54935-2342

Fax (920) 926-0060

Mailing address

505 S Washburn St
Oshkosh, WI 54904-7949

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X18760-130 (WI)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1629688726

Leslie Mae Raddatz, LPC, SAC-IT's National Provider Identifier is 1629688726, issued on Aug 4, 2020. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Fond Du Lac, WI. The record was last updated on Jun 21, 2023.