Marlene Rosalina Agosto
Rehabilitation Counselor in Indianapolis, IN. Individual provider (NPI-1).
NPI number1316559313
StatusActive
Last updated in NPPESAug 20, 2020
Details
- NPI
- 1316559313
- Entity type
- Individual (NPI-1)
- Name
- Marlene Rosalina Agosto
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 20, 2020
- Certification date
- Aug 20, 2020
- Last updated
- Aug 20, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225C00000X | Rehabilitation Counselor | – | – | Yes |
| 102L00000X | Psychoanalyst | – | – | |
| 106S00000X | Behavior Technician | – | – | |
| 171M00000X | Case Manager/Care Coordinator | – | – | |
| 171R00000X | Interpreter | – | – | |
| 172V00000X | Community Health Worker | – | – | |
| 175T00000X | Peer Specialist | – | – | |
| 373H00000X | Day Training/Habilitation Specialist | – | – | |
| 174H00000X | Health Educator | – | – | |
| 376J00000X | Homemaker | – | – |
Practice location
2204 Duke StIndianapolis, IN 46205-2238
Phone 317-675-0401
Mailing address
2054 Coldwater CtIndianapolis, IN 46239-8702
Phone 317-675-0401
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