Provider Demographics
NPI:1821002395
Name:CABRAL, KAREN JOANNE (LPC LMFT)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:JOANNE
Last Name:CABRAL
Suffix:
Gender:F
Credentials:LPC LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5825 CALLAGHAN RD
Mailing Address - Street 2:STE 200
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78228-1124
Mailing Address - Country:US
Mailing Address - Phone:210-521-4833
Mailing Address - Fax:210-521-8561
Practice Address - Street 1:5825 CALLAGHAN RD
Practice Address - Street 2:STE 200
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78228-1124
Practice Address - Country:US
Practice Address - Phone:210-521-4833
Practice Address - Fax:210-521-8561
Is Sole Proprietor?:No
Enumeration Date:2006-07-28
Last Update Date:2014-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXLPC11500101YP2500X
LMFT003206106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0954844Medicaid