Provider Demographics
NPI:1245854603
Name:ABELLO, MARCELA (MS)
Entity type:Individual
Prefix:
First Name:MARCELA
Middle Name:
Last Name:ABELLO
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18151 NE 31ST CT APT 1614
Mailing Address - Street 2:
Mailing Address - City:AVENTURA
Mailing Address - State:FL
Mailing Address - Zip Code:33160-2652
Mailing Address - Country:US
Mailing Address - Phone:954-624-2348
Mailing Address - Fax:
Practice Address - Street 1:18151 NE 31ST CT APT 1614
Practice Address - Street 2:
Practice Address - City:AVENTURA
Practice Address - State:FL
Practice Address - Zip Code:33160-2652
Practice Address - Country:US
Practice Address - Phone:954-624-2348
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-06-02
Last Update Date:2020-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health