Healthcare Provider Details

I. General information

NPI: 1467365783
Provider Name (Legal Business Name): BARBARA CABRERA MS, LAC, NCC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/26/2026
Last Update Date: 09/26/2026
Certification Date: 09/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

49 VILLAGE CT
HAZLET NJ
07730-1536
US

IV. Provider business mailing address

22 WILMOT ST
EAST BRUNSWICK NJ
08816-2286
US

V. Phone/Fax

Practice location:
  • Phone: 732-947-4777
  • Fax:
Mailing address:
  • Phone: 201-966-4722
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number37AC01006300
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: