Provider Demographics
NPI:1891030821
Name:HORSFALL, MARIELA EMMA
Entity Type:Individual
Prefix:
First Name:MARIELA
Middle Name:EMMA
Last Name:HORSFALL
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 1:91 CHATHAM CREST DR
Mailing Address - Street 2:
Mailing Address - City:CHATHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02633-1054
Mailing Address - Country:US
Mailing Address - Phone:508-237-0143
Mailing Address - Fax:
Practice Address - Street 1:91 CHATHAM CREST DR
Practice Address - Street 2:
Practice Address - City:CHATHAM
Practice Address - State:MA
Practice Address - Zip Code:02633-1054
Practice Address - Country:US
Practice Address - Phone:508-237-0143
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-12-03
Last Update Date:2012-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor