Individual
JOSE L CABRERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
355 PRAIRIE AVE, PROVIDENCE, RI 02905-1928
(401) 415-8844
(401) 383-5737
Mailing address
355 PRAIRIE AVE, PROVIDENCE, RI 02905-1928
(401) 415-8844
(401) 383-5737
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
068951
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
136167177
FIDELIS
NY
Enumeration date
03/07/2007
Last updated
05/06/2024
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