Provider Demographics
NPI:1851265185
Name:HURTADO, MARISELA (LPC)
Entity type:Individual
Prefix:
First Name:MARISELA
Middle Name:
Last Name:HURTADO
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:526 BROWN ST APT 205
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19123-2147
Mailing Address - Country:US
Mailing Address - Phone:908-721-2861
Mailing Address - Fax:
Practice Address - Street 1:526 BROWN ST APT 205
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19123-2147
Practice Address - Country:US
Practice Address - Phone:908-721-2861
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-30
Last Update Date:2025-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health