Doctor Name: | MR. HENRY GARCIA CABRERA |
NPI Number: | 1104017854 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LMFT |
License Number: | 4007 |
Business Practice Address: | 325 Wallace St Seguin, TX - 781555959 |
Business Phone Number: | 8303798222 |
Business Fax Number: | 8303037616 |
Mailing Address: | 1009 N Georgetown St, ROUND ROCK |
State: | TX |
Postal Code: | 786643289 |
Phone Number: | 5122551720 |
Fax Number: | 5122448371 |
NPI Enumeration Date: | 08/07/2007 |
NPI Last Update Date: | 08/07/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | 4007 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | TX |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |