Tara Theresa O'Connell, LCSW-S
Social Worker, Clinical in Corpus Christi, TX. Individual provider (NPI-1).
NPI number1003691007
StatusActive
Last updated in NPPESAug 28, 2023
Details
- NPI
- 1003691007
- Entity type
- Individual (NPI-1)
- Name
- Tara Theresa O'Connell
- Credential
- LCSW-S
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 28, 2023
- Certification date
- Aug 28, 2023
- Last updated
- Aug 28, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 41945 | TX | Yes |
Practice location
3129 Topeka StCorpus Christi, TX 78404-2436
Phone 361-563-8986
Mailing address
3129 Topeka StCorpus Christi, TX 78404-2436
Phone 361-563-8986
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