Provider Demographics
NPI:1225910631
Name:CABRERA, CHRISTOPHER ISAAC (RAD-T)
Entity type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:ISAAC
Last Name:CABRERA
Suffix:
Gender:M
Credentials:RAD-T
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21332 E AMERICAN AVE
Mailing Address - Street 2:
Mailing Address - City:REEDLEY
Mailing Address - State:CA
Mailing Address - Zip Code:93654-9637
Mailing Address - Country:US
Mailing Address - Phone:559-321-6585
Mailing Address - Fax:
Practice Address - Street 1:21332 E AMERICAN AVE
Practice Address - Street 2:
Practice Address - City:REEDLEY
Practice Address - State:CA
Practice Address - Zip Code:93654-9637
Practice Address - Country:US
Practice Address - Phone:559-321-6585
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-24
Last Update Date:2025-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)