Provider Demographics
NPI:1851554950
Name:CABRAL, EVERARDO JUAN (LCSW)
Entity Type:Individual
Prefix:MR
First Name:EVERARDO
Middle Name:JUAN
Last Name:CABRAL
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 THE CITY DR S
Mailing Address - Street 2:BLDG. 3 RTE 88
Mailing Address - City:ORANGE
Mailing Address - State:CA
Mailing Address - Zip Code:92868-3201
Mailing Address - Country:US
Mailing Address - Phone:714-456-2924
Mailing Address - Fax:714-456-2940
Practice Address - Street 1:101 THE CITY DR S
Practice Address - Street 2:BLDG. 3 RTE 88
Practice Address - City:ORANGE
Practice Address - State:CA
Practice Address - Zip Code:92868-3201
Practice Address - Country:US
Practice Address - Phone:714-456-2924
Practice Address - Fax:714-456-2940
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-08
Last Update Date:2015-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCSW293881041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical