Provider Demographics
NPI:1629223540
Name:YSASI-TAGLE, JESSICA MONICA (MA, LPCA)
Entity type:Individual
Prefix:MRS
First Name:JESSICA
Middle Name:MONICA
Last Name:YSASI-TAGLE
Suffix:
Gender:F
Credentials:MA, LPCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4305 N 10TH ST STE C
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78504-3051
Mailing Address - Country:US
Mailing Address - Phone:956-537-5472
Mailing Address - Fax:956-552-7455
Practice Address - Street 1:4305 N 10TH ST STE C
Practice Address - Street 2:
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78504-3051
Practice Address - Country:US
Practice Address - Phone:956-537-5472
Practice Address - Fax:956-552-7455
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-19
Last Update Date:2025-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty