Provider Demographics
NPI:1376977520
Name:CABRERA, CARYL LEGASPI (LCPC)
Entity type:Individual
Prefix:MRS
First Name:CARYL
Middle Name:LEGASPI
Last Name:CABRERA
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2122 MASSACHUSETTS AVE NW APT 514
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20008-2829
Mailing Address - Country:US
Mailing Address - Phone:240-441-6018
Mailing Address - Fax:
Practice Address - Street 1:2 WISCONSIN CIR STE 700
Practice Address - Street 2:
Practice Address - City:CHEVY CHASE
Practice Address - State:MD
Practice Address - Zip Code:20815-7007
Practice Address - Country:US
Practice Address - Phone:202-656-5889
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-23
Last Update Date:2024-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLC4845101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health