Provider Demographics
NPI:1205960325
Name:CABRERA, HILDAMARI LEE (MS)
Entity type:Individual
Prefix:MS
First Name:HILDAMARI
Middle Name:LEE
Last Name:CABRERA
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23936 CORTE CAJAN
Mailing Address - Street 2:
Mailing Address - City:MURRIETA
Mailing Address - State:CA
Mailing Address - Zip Code:92562-3585
Mailing Address - Country:US
Mailing Address - Phone:951-704-0303
Mailing Address - Fax:
Practice Address - Street 1:43218 BUSINESS PARK DR
Practice Address - Street 2:SUITE 103
Practice Address - City:TEMECULA
Practice Address - State:CA
Practice Address - Zip Code:92590-3601
Practice Address - Country:US
Practice Address - Phone:951-445-7617
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-14
Last Update Date:2015-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALMFT 80138106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist