Provider Demographics
NPI:1174321681
Name:FERNANDEZ, ALEXANDRA VICTORIA (MS, LPC-A)
Entity type:Individual
Prefix:
First Name:ALEXANDRA
Middle Name:VICTORIA
Last Name:FERNANDEZ
Suffix:
Gender:F
Credentials:MS, LPC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4706 WESTERN BROOK DR
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77388-2110
Mailing Address - Country:US
Mailing Address - Phone:346-298-9941
Mailing Address - Fax:
Practice Address - Street 1:2174 N FARM TO MARKET 3083 RD W
Practice Address - Street 2:SUITE 100
Practice Address - City:CONROE
Practice Address - State:TX
Practice Address - Zip Code:77304
Practice Address - Country:US
Practice Address - Phone:936-227-4438
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-03
Last Update Date:2025-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX95832101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health