Provider Demographics
NPI:1609638717
Name:VIRELLA, BEIJA
Entity Type:Individual
Prefix:
First Name:BEIJA
Middle Name:
Last Name:VIRELLA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 964
Mailing Address - Street 2:
Mailing Address - City:HAVERHILL
Mailing Address - State:MA
Mailing Address - Zip Code:01831-1264
Mailing Address - Country:US
Mailing Address - Phone:978-973-7535
Mailing Address - Fax:
Practice Address - Street 1:505 W LOWELL AVE APT 1107
Practice Address - Street 2:
Practice Address - City:HAVERHILL
Practice Address - State:MA
Practice Address - Zip Code:01832-5764
Practice Address - Country:US
Practice Address - Phone:978-973-7535
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-24
Last Update Date:2024-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor