Provider Demographics
NPI:1437306438
Name:CABRELIS, LONITHA MARIE
Entity Type:Individual
Prefix:MRS
First Name:LONITHA
Middle Name:MARIE
Last Name:CABRELIS
Suffix:
Gender:F
Credentials:
Other - Prefix:MRS
Other - First Name:LONITHA
Other - Middle Name:MARIE
Other - Last Name:SMITH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5887 KELLY WAY
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95824-3030
Mailing Address - Country:US
Mailing Address - Phone:916-392-5598
Mailing Address - Fax:
Practice Address - Street 1:5887 KELLY WAY
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95824-3030
Practice Address - Country:US
Practice Address - Phone:916-392-5598
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-20
Last Update Date:2008-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)