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General NPI Number Information
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NPI Number | 1174321681
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Entity Type | Individual
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Provider Name | ALEXANDRA VICTORIA FERNANDEZ M.S, LPC-A
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Gender | Female
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Dates
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Enumeration Date | 03/03/2025
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Last Update Date | 03/03/2025
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Provider Practice Location Address
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Address Line | 2174 N FARM TO MARKET 3083 RD W SUITE 100
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City | CONROE
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State | TX
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Zip | 77304
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Country | US
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Telephone | 936-227-4438
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Fax |
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Provider Business Mailing Address
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Address Line | 4706 WESTERN BROOK DR
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City | SPRING
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State | TX
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Zip | 77388-2110
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Country | US
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Telephone | 346-298-9941
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 95832
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License Number State | TX
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