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General NPI Number Information
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NPI Number | 1558465195
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Entity Type | Organization
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Legal Business Name | KRISTINA FERNANDEZ, L.P.C.
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Dates
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Enumeration Date | 09/12/2006
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Last Update Date | 06/23/2008
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Provider Practice Location Address
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Address Line | 9950 CYPRESSWOOD DR #160
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City | HOUSTON
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State | TX
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Zip | 77070-3414
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Country | US
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Telephone | 281-955-0050
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Fax | 281-955-0199
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Provider Business Mailing Address
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Address Line | 9950 CYPRESSWOOD DR #160
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City | HOUSTON
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State | TX
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Zip | 77070-3414
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Country | US
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Telephone | 281-955-0050
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Fax | 281-955-0199
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Authorized Official
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Title or Position | OWNER
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Name | KRISTINA LOUISE MORAN-FERNANDEZ
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Credential | L.P.C.
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Telephone | 281-955-0050
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 17699
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License Number State | TX
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