Individual
MR. ANGELO LUIS CABRERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
7825 MIDLOTHIAN TPKE STE 203, NORTH CHESTERFIELD, VA 23235-5247
(229) 412-8125
(804) 621-2292
Mailing address
5300 NEWBYS WOOD TRL, CHESTERFIELD, VA 23832-7500
(804) 836-7273
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
0701007627
VA
101Y00000X
Counselor
Primary
XXXXXXXXXXX
VA
101YP2500X
Professional Counselor
0701007627
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1578994687
—
VA
05
—
601141216
—
VA
Enumeration date
03/23/2018
Last updated
06/11/2019
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