Provider Demographics
NPI:1356445910
Name:MORAN-FERNANDEZ, KRISTINA LOUISE (LPC)
Entity Type:Individual
Prefix:MRS
First Name:KRISTINA
Middle Name:LOUISE
Last Name:MORAN-FERNANDEZ
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9950 CYPRESSWOOD DR
Mailing Address - Street 2:#160
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77070-3414
Mailing Address - Country:US
Mailing Address - Phone:281-955-0050
Mailing Address - Fax:281-955-0199
Practice Address - Street 1:9950 CYPRESSWOOD DR
Practice Address - Street 2:#160
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77070-3414
Practice Address - Country:US
Practice Address - Phone:281-955-0050
Practice Address - Fax:281-955-0199
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX17699101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional