Provider Demographics
NPI:1285868794
Name:CABELLO, SARA (LPC)
Entity type:Individual
Prefix:
First Name:SARA
Middle Name:
Last Name:CABELLO
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 2127
Mailing Address - Street 2:
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77410-2127
Mailing Address - Country:US
Mailing Address - Phone:281-477-6363
Mailing Address - Fax:281-477-6356
Practice Address - Street 1:6423 MCPHERSON RD
Practice Address - Street 2:SUITE# 9
Practice Address - City:LAREDO
Practice Address - State:TX
Practice Address - Zip Code:78041-6179
Practice Address - Country:US
Practice Address - Phone:281-477-6363
Practice Address - Fax:281-477-6356
Is Sole Proprietor?:No
Enumeration Date:2009-05-12
Last Update Date:2009-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX9351101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional