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General NPI Number Information
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NPI Number | 1811078967
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Entity Type | Individual
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Provider Name | RAQUEL I FERNANDEZ MA LPC LMFT
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Gender | Female
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Dates
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Enumeration Date | 10/17/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 14825 ST MARYS LN SUITE 264
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City | HOUSTON
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State | TX
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Zip | 77079
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Country | US
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Telephone | 281-596-9293
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Fax | 713-629-4439
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Provider Business Mailing Address
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Address Line | 14825 ST MARYS LANE SUITE 264
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City | HOUSTON
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State | TX
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Zip | 77079
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Country | US
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Telephone | 281-596-9293
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Fax | 713-629-4439
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | LPC11332
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | LMFT2604
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License Number State | TX
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