Individual provider · Type 1 NPI
Amanda Radtke, LPC
Mental Health Counselor · De Pere, WI
NPI number
1841859600
Active
Practice location
1716 Lawrence Dr Ste 107
De Pere, WI 54115-9108
Fax (920) 243-1792
Mailing address
3416 N Association Dr
Appleton, WI 54914-1479
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor | 101YP2500X | 7889-125 (WI) |
| Mental Health Counselor Primary | 101YM0800X | 3948-226 (WI) |
Mental Health Counselor: Definition to come...
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About NPI 1841859600
Amanda Radtke, LPC's National Provider Identifier is 1841859600, issued on Jun 6, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in De Pere, WI. The record was last updated on Sep 29, 2026.