Doctor Name: | MRS. LINDSY MARLYN CABRERA-REVOLORIO |
NPI Number: | 1083081384 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA, LCPC |
License Number: | 180.009072 |
Business Practice Address: | 8 N Main St Suite 504 Attleboro, MA - 027032282 |
Business Phone Number: | 5084090000 |
Business Fax Number: | 5084090006 |
Mailing Address: | 8 N Main St, Suite 504 ATTLEBORO |
State: | MA |
Postal Code: | 027032282 |
Phone Number: | 5084090000 |
Fax Number: | 5084090006 |
NPI Enumeration Date: | 08/21/2015 |
NPI Last Update Date: | 08/21/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 180.009072 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |