Edna Jacqueline Garcia Tello
Social Worker, Clinical in Live Oak, TX. Individual provider (NPI-1).
NPI number1194698993
StatusActive
Last updated in NPPESSep 26, 2025
Details
- NPI
- 1194698993
- Entity type
- Individual (NPI-1)
- Name
- Edna Jacqueline Garcia Tello
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 26, 2025
- Certification date
- Sep 26, 2025
- Last updated
- Sep 26, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 116531 | TX | Yes |
Practice location
11901 Toepperwein Rd Ste 1202Live Oak, TX 78233-3159
Phone 210-951-3479 · Fax 833-672-2760
Mailing address
11901 Toepperwein Rd Ste 1202Live Oak, TX 78233-3159
Phone 210-951-3479 · Fax 833-672-2760
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