MEDICARE: TENESHA GARCIA LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	104100000X	Social Worker	ACSW83226	CA
2	101YM0800X	Mental Health Counselor	114973	CA

General Provider Information

NPI Number	:	1982132627
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TENESHA GARCIA LCSW

Provider Business Mailing Address
First Line	:	1124 E PACIFIC COAST HWY UNIT A190
Second Line	:
City	:	LONG BEACH
State	:	CA
Zip	:	90806-5102
Country	:	US
Telephone Number	:	818-538-4706
Fax Number	:

Provider Business Practice Location Address
First Line	:	1124 E PACIFIC COAST HWY UNIT A190
Second Line	:
City	:	LONG BEACH
State	:	CA
Zip	:	90806-5102
Country	:	US
Telephone Number	:	818-538-4706
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/25/2017
Last Update Date	:	03/28/2024

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Directions to “ TENESHA GARCIA LCSW” Practice Location

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