Provider Demographics
NPI:1144878596
Name:CABRERA, DANIEL JOSE (LPC)
Entity type:Individual
Prefix:MR
First Name:DANIEL
Middle Name:JOSE
Last Name:CABRERA
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:115 E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:TX
Mailing Address - Zip Code:75652-3167
Mailing Address - Country:US
Mailing Address - Phone:903-646-1326
Mailing Address - Fax:903-392-8267
Practice Address - Street 1:115 E MAIN ST
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:TX
Practice Address - Zip Code:75652-3167
Practice Address - Country:US
Practice Address - Phone:903-646-1326
Practice Address - Fax:903-392-8267
Is Sole Proprietor?:No
Enumeration Date:2019-08-29
Last Update Date:2019-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX77349101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional