Provider Demographics
NPI:1518698018
Name:CABRAL, JEFFREY (MA, LPC-A)
Entity Type:Individual
Prefix:MR
First Name:JEFFREY
Middle Name:
Last Name:CABRAL
Suffix:
Gender:M
Credentials:MA, LPC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:111 PROBANDT UNIT 130
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78204-1989
Mailing Address - Country:US
Mailing Address - Phone:210-504-9833
Mailing Address - Fax:
Practice Address - Street 1:111 PROBANDT UNIT 130
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78204-1989
Practice Address - Country:US
Practice Address - Phone:210-504-9833
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-06-23
Last Update Date:2022-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX89000101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty