Provider Demographics
NPI:1083368211
Name:TAGLE, OSCAR JAVIER JR (M ED, LPC, NCC)
Entity Type:Individual
Prefix:MR
First Name:OSCAR
Middle Name:JAVIER
Last Name:TAGLE
Suffix:JR
Gender:M
Credentials:M ED, LPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:402 N JACKSON RD
Mailing Address - Street 2:
Mailing Address - City:EDINBURG
Mailing Address - State:TX
Mailing Address - Zip Code:78541-2868
Mailing Address - Country:US
Mailing Address - Phone:956-540-7509
Mailing Address - Fax:956-540-7510
Practice Address - Street 1:402 N JACKSON RD
Practice Address - Street 2:
Practice Address - City:EDINBURG
Practice Address - State:TX
Practice Address - Zip Code:78541-2868
Practice Address - Country:US
Practice Address - Phone:956-540-7509
Practice Address - Fax:956-540-7510
Is Sole Proprietor?:No
Enumeration Date:2022-02-07
Last Update Date:2023-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX82326101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional