Provider Demographics
NPI:1952655227
Name:CABALLERO, AMERICA MENCOS (LPC)
Entity Type:Individual
Prefix:MRS
First Name:AMERICA
Middle Name:MENCOS
Last Name:CABALLERO
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:MISS
Other - First Name:ZOILA
Other - Middle Name:AMERICA
Other - Last Name:MENCOS GALIANO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:16220 FREDERICK RD,
Mailing Address - Street 2:SUITE 502
Mailing Address - City:GAITHERSBURG
Mailing Address - State:MD
Mailing Address - Zip Code:20877
Mailing Address - Country:US
Mailing Address - Phone:301-978-9750
Mailing Address - Fax:301-978-9753
Practice Address - Street 1:19375 GERMANTOWN ROAD
Practice Address - Street 2:SUITE 300
Practice Address - City:GERMANTOWN
Practice Address - State:MD
Practice Address - Zip Code:20874
Practice Address - Country:US
Practice Address - Phone:301-634-9600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-11-07
Last Update Date:2012-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLC4719101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional