Most Relevant Information
Provider Data
| NPI Number: | 1003075565 |
| Provider Name: | MARLENE J VILLECCO MS, LCAC |
| Entity Type: | Individual |
| Taxonomy Code: | 101YA0400X |
| Specialty: | Counselor |
| License Number: | 87000817A |
Most Important Dates
| Enumeration Date: | 06/09/2008 |
| Last Updated: | 07/19/2018 |
Provider Practice Location
5638 PROFESSIONAL CIR
INDIANAPOLIS
IN
46241
Practice Location Phone/Fax
| Phone: | 8887141927 |
| Fax: | 3172478935 |
Provider Mailing Location
5101 E US HIGHWAY 36 STE 100
AVON
IN
461236646
Provider Mailing Phone/Fax
| Phone: | 8887141927 |
| Fax: | 3177459565 |