Find Mental Health Therapists Serving
Fresno, TX

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3 Local Mental Health Therapists
188 Virtual Mental Health Therapists
0 Near Fresno, TX

191 Mental Health Therapists Serving Fresno, TX

3 mental health therapists offer in-person sessions in Fresno, TX, and many more are available online. Compare profiles, specialties, and pricing — see real-time availability and book, or message a provider directly.

Last updated 9-29-26

Find Mental Health Therapists Serving Fresno, TX

Compare mental health therapists serving Fresno

3 Local Mental Health Therapists
188 Virtual Mental Health Therapists
0 Near Fresno, TX

Mental Health Therapists in Fresno, TX

3 available

Book in-person sessions with mental health therapists based in Fresno.

Missouri City TX US Initial Consult
therapist
Sofia Verified
Serves Missouri City, TX Free intro consult

Coming Soon… Read bio

therapist Health CoachLife CoachTeen Life CoachWellness CoachChild TherapistRelationship CounselorMarriage and Family TherapistMental Health CounselorFamily CounselorPremarital CounselorTherapistAnxiety TherapistHealth and Wellness CoachPersonal CoachFamily CoachRelationship CoachCareer CoachBusiness CoachMental Health CoachCounselingCouples CounselingGrief CounselingSubstance Abuse CounselingNutrition CounselingCareer CounselingBehavioral Health CounselingSocial Anxiety TherapyCognitive Behavior TherapyEMDR TherapyGrief CoachManifestation CoachPsychotherapyRegression HypnotherapySleep TherapyMental Health TherapistNeuromuscular TherapyCouples TherapyEmotional Freedom Technique (EFT)Mental WellnessStress CounselingSelf Esteem CoachGrief Recovery SpecialistMindset CoachWomen's HealthAnxiety CoachTrauma ClassHypnotherapyGoal SettingVisualization TechniqueStress CoachChronic Fatigue SpecialistSleep CoachBrain Fog SpecialistResilience CoachInsomniaSleep DoctorHolistic TherapistBehavior Modification TherapyStress Management ClassWellness CounselingDepression CounselingAnxiety TreatmentWomen's Health SpecialistPTSD TreatmentPanic Disorder SpecialistWellness PractitionerPersonal Growth WorkshopEmotional Wellness

No availability this week

Wed Sep 30 No appts
Thu Oct 1 No appts
Fri Oct 2 No appts
Sat Oct 3 No appts
Sun Oct 4 No appts
Mon Oct 5 No appts
Tue Oct 6 No appts
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Houston Texas US Group Weight Loss Meetings, Bi-Weekly or Monthly Health & Nutrition Coaching Seminars.Initial Nutrition Consultation & Health Assessment
Natural Health Wellness Solutions
Certified Nutritionist, Weight Loss Specialists, Certified Health Coach
Sofia Verified
Serves Houston, Texas Virtual available

Natural Health Wellness Center provides evidence-based, effective solutions for Integrative Health … Read bio

Certified NutritionistWeight Loss SpecialistsCertified Health Coach NutritionistHealth CoachDieticianWellness CoachHolistic Health CoachHolistic NutritionistNutrition ConsultantNutrition CoachNutritional TherapistHealth and Wellness CoachPersonal CoachHolistic HealthNutrition CounselingManifestation CoachMental Health TherapistWeight Loss CoachMental WellnessMeal PrepFitness ClassObesity CareKeto SpecialistFood AllergistVegan DieticianPediatric NutritionistFunctional NutritionistMindset CoachWomen's HealthGoal SettingGas and Bloating SpecialistChronic Fatigue SpecialistGut Health SpecialistHormone SpecialistGout SpecialistDetox SpecialistTeen Nutrition CoachAnemia SpecialistFODMAP SpecialistLiver Cleanse SpecialistAthlete Nutrition PlanDigestive Health SpecialistIBS SpecialistWeight Loss ProgramNutrition TherapyMindful EatingEating Disorder TreatmentFood Allergy DoctorFood Sensitivity TestingGluten FreeCeliac Disease SpecialistDiabetes SpecialistDigestive IssuesColitis SpecialistCrohn's SpecialistCholesterol SpecialistBlood Pressure SpecialistHeart Health SpecialistAutoimmune Disease DoctorMeal PlansKeto Diet CoachVegan DietVegetarian DietIntuitive Eating DietitianPregnancy NutritionPostpartum NutritionConstipation DoctorWellness CounselingWeight Management DoctorGut HealthOrganic FoodLow Fat DietAlkaline DietAnti Inflammatory DietMens HealthMetabolic SpecialistGLP-1 SupportOzempic SupportWellness PractitionerSelf CareSkin CareFood Sensitivity DoctorImmune SupportOnline Fitness ClassBody PositivityPersonal Growth WorkshopExercise ClassEmotional WellnessRaw Food DietFitness Nutrition Coach

Next available on Thu, Oct 1

Wed Sep 30 No appts
Thu Oct 1 5 appts
Fri Oct 2 No appts
Sat Oct 3 No appts
Sun Oct 4 No appts
Mon Oct 5 1 appts
Tue Oct 6 5 appts
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Houston TX US Follow-Up Session / Program Check-InFunctional Hair Growth Supplement PlanHair Growth Strategy Session (Men)Hair Loss & Scalp Recovery ProgramHair Loss & Scalp Recovery Program (In-Person)
Texas  Hair Restoration &  Wellness Center Trichologist Dr. Leola Anifowoshe
Chief Functional Wellness Trichologist, Herbalist
Sofia Verified
Serves Houston, TX Virtual available

Welcome! I’m Dr. Leola Anifowoshe, PhD—Certified Trichologist, Functional Wellness Strategist, and … Read bio

Chief Functional Wellness TrichologistHerbalist Anxiety TherapistHerbalistHolistic HealthSocial Anxiety TherapySleep TherapyMental Health TherapistStress CounselingLiver SupportAutoimmune SpecialistStress CoachGas and Bloating SpecialistHormone SpecialistSkin Health SpecialistInsomniaSleep DoctorIBS SpecialistDigestive IssuesBlood Pressure SpecialistRenal SpecialistAutoimmune Disease DoctorStress Management ClassConstipation DoctorHeadache SpecialistPain ManagementAnxiety TreatmentHerbal TeaMigraine SpecialistBack Pain SpecialistHormone Balancing DoctorsSkin CareImmune SupportHerbal Remedies

No availability this week

Wed Sep 30 No appts
Thu Oct 1 No appts
Fri Oct 2 No appts
Sat Oct 3 No appts
Sun Oct 4 No appts
Mon Oct 5 No appts
Tue Oct 6 No appts
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View all mental health therapists in Fresno, TX →

Online Mental Health Therapists Serving Fresno, TX

188 available

Meet with experienced mental health therapists who serve clients in Fresno through virtual appointments.

LIFE BALANCE READING
Akua Gray
Sofia Verified
Serves Virtual available

Coming Soon… Read bio

PsychicLife CoachSpiritual Life CoachTarot ReaderAstrologerPalm ReaderPersonal CoachFamily CoachRelationship CoachHealerIntuitive HealerVirtual Energy HealerMental Health CoachMental Health TherapistTarot Card ReadingSpiritual CleansingMental WellnessMindset CoachGoal SettingMindfulness ClassSpiritual WellnessEnergy Balancing

No availability this week

Wed Sep 30 No appts
Thu Oct 1 No appts
Fri Oct 2 No appts
Sat Oct 3 No appts
Sun Oct 4 No appts
Mon Oct 5 No appts
Tue Oct 6 No appts
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NA NA US Alleviate anxiety with aromatherapy treatmentsAlleviate migraine symptoms with essential oilsAromatherapy and Essential Oils for advanced and serious illness (Coming Soon)Aromatherapy for BeginnersBoost your immunity with essential oils & aromatherapy
Alaura Pittman
Aromatherapist, Herbalist
13 bookings on Sofia Health
Sofia Verified
Serves NA, NA Free intro consult Virtual available

I am Alaura Pittman, an aromatherapist, and student of herbs. I believe plants are our greatest all… Read bio

AromatherapistHerbalist AromatherapistDoulaDeath DoulaAnxiety TherapistHerbalistEssential OilHolistic HealthMental Health CoachHolistic MedicineGrief CounselingSocial Anxiety TherapyGrief CoachManifestation CoachSleep TherapyMental Health TherapistMental WellnessAromatherapy MassageStress CounselingGrief Recovery SpecialistMindset CoachWomen's HealthAnxiety CoachRelaxation TechniqueStress CoachChronic Fatigue SpecialistSleep CoachInflammation SpecialistDepression TherapistInsomniaChinese MedicineHeadache SpecialistDepression CounselingAnxiety TreatmentPlant MedicineHerbal TeaMens HealthMigraine SpecialistBack Pain SpecialistShoulder Pain SpecialistHip Pain SpecialistKnee Pain DoctorPelvic Pain SpecialistBack and Spine SpecialistNeck Pain TreatmentWhiplash TreatmentArthritis DoctorPTSD TreatmentPanic Disorder SpecialistWellness PractitionerSpiritual WellnessSelf CareSkin CareImmune SupportBody PositivityPersonal Growth WorkshopHerbal RemediesEmotional Wellness

Next available on Thu, Oct 1

Wed Sep 30 No appts
Thu Oct 1 3 appts
Fri Oct 2 No appts
Sat Oct 3 12 appts
Sun Oct 4 12 appts
Mon Oct 5 No appts
Tue Oct 6 3 appts
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Baton Rouge LA US Chair yogaChakra BalanceGentle YogaInitial ConsultMindfulness
Alesah Richardson
Wellness Practitioner
3122 bookings on Sofia Health
Sofia Verified
Serves Baton Rouge, LA Free intro consult Virtual available

Greetings, Alesah Richardson is a holistic practitioner with over ten years of experience guiding … Read bio

Wellness Practitioner Reiki MasterChakra HealerYoga InstructorLife CoachTeen Life CoachWellness CoachMental Health CounselorEnergy HealerSound HealerHolistic Health CoachAnxiety TherapistHealth and Wellness CoachReikiHealerIntuitive HealerMeditation TeacherPrivate Yoga InstructorVirtual Energy HealerMeditationMeditation StudioBreathworkHolistic HealthMental Health CoachVinyasa YogaPrenatal YogaHatha YogaHot YogaBikram YogaAerial YogaRaja YogaBeginner YogaYoga ClassAshtanga YogaPostnatal YogaAshtanga FlowSocial Anxiety TherapyGrief CoachManifestation CoachSleep TherapyMental Health TherapistSound TherapySpiritual CleansingMental WellnessObesity CareAnger Management ClassStress CounselingSelf Esteem CoachGrief Recovery SpecialistMindset CoachWomen's HealthAnxiety CoachTrauma ClassRelaxation TechniqueGoal SettingVisualization TechniqueMindfulness ClassStress CoachChronic Fatigue SpecialistSleep CoachEnergy CoachBrain Fog SpecialistDepression TherapistResilience CoachYoga NidraTrauma Informed YogaInsomniaSleep DoctorHolistic TherapistStress Management ClassDepression CounselingAnxiety TreatmentWomen's Health SpecialistiRest Yoga NidraPTSD TreatmentWellness PractitionerHolistic HealerSpiritual WellnessEnergy BalancingHolistic Health PractitionerSelf CareOnline Fitness ClassBody PositivityExercise ClassBreathing Exercise

Next available on Thu, Oct 1

Wed Sep 30 No appts
Thu Oct 1 24 appts
Fri Oct 2 24 appts
Sat Oct 3 No appts
Sun Oct 4 No appts
Mon Oct 5 No appts
Tue Oct 6 18 appts
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Oakland CA US Avoid permanent joint damage from goutChronic Joint Pain?Defy Aging through your 50s & 60sEliminate gout lifestyle restrictionsEnd gout flare ups for good
Alex Fischer
Health Coach
Sofia Verified
Serves Oakland, CA Free intro consult Virtual available

I thought I was following a healthy diet when I had my first gout attack, and the only resources I… Read bio

Health Coach Health CoachWellness CoachHolistic Health CoachHealth and Wellness CoachPersonal CoachHolistic HealthNutrition CounselingSleep TherapyMental Health TherapistWeight Loss CoachMental WellnessObesity CareStress CounselingSelf Esteem CoachMindset CoachWomen's HealthAnxiety CoachGoal SettingLiver SupportAutoimmune SpecialistStress CoachGas and Bloating SpecialistChronic Fatigue SpecialistSleep CoachGut Health SpecialistAdrenal Gland SpecialistBrain Fog SpecialistJoint Pain SpecialistGout SpecialistDepression TherapistDigestive Health SpecialistEpigenetic TestInsomniaIBS SpecialistWeight Loss ProgramRheumatoid Arthritis DoctorFibromyalgia SpecialistOsteoporosis SpecialistMindful EatingChronic Pain SpecialistDiabetes SpecialistCholesterol SpecialistBlood Pressure SpecialistStress Management ClassConstipation DoctorWellness CounselingHeadache SpecialistWeight Management DoctorPain ManagementDepression CounselingAnxiety TreatmentGut HealthMens HealthMetabolic SpecialistMigraine SpecialistBack Pain SpecialistShoulder Pain SpecialistHip Pain SpecialistKnee Pain DoctorVertigo DoctorPTSD TreatmentPanic Disorder SpecialistWellness PractitionerSelf CareFood Sensitivity DoctorImmune SupportBody Positivity

Next available on Wed, Sep 30

Wed Sep 30 96 appts
Thu Oct 1 108 appts
Fri Oct 2 108 appts
Sat Oct 3 No appts
Sun Oct 4 No appts
Mon Oct 5 108 appts
Tue Oct 6 108 appts
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View all virtual mental health therapists →

Related Practitioners serving Fresno

3 available

Explore providers offering related services in Fresno, TX

Austin Tx US 50 minute therapyInitial consult
Felix Murad
Felix Murad New on Sofia Health
Licensed Professional Counselor Supervisor
Sofia Verified
Serves Austin, Tx Free intro consult Virtual available

Coming Soon… Read bio

Licensed Professional Counselor Supervisor CounselorMental Health CounselorCounselingCouples CounselingGrief CounselingSubstance Abuse CounselingCareer CounselingBehavioral Health CounselingSocial Anxiety TherapyCognitive Behavior TherapyPsychotherapyCouples TherapyMental WellnessAnger Management ClassStress CounselingEating Disorder TreatmentBehavior Modification TherapyWellness CounselingDepression CounselingAnxiety TreatmentSelf CareEmotional Wellness

No availability this week

Wed Sep 30 No appts
Thu Oct 1 No appts
Fri Oct 2 No appts
Sat Oct 3 No appts
Sun Oct 4 No appts
Mon Oct 5 No appts
Tue Oct 6 No appts
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Vienna Virginia US ADHD Evaluation & TreatmentAnxiety & Depression Diagnosis TreatmentNew Patient Psychiatric EvaluationPsychiatric Medication ManagementTeen & Young Adult Mental Health Care
Tammy Endicott
PMHNP
364 bookings on Sofia Health
Sofia Verified
Serves Vienna, Virginia Virtual available

Welcome! I am Tammy Endicott, a dual board-certified Psychiatric Mental Health Nurse Practitioner a… Read bio

PMHNP CounselingCouples CounselingGrief CounselingSubstance Abuse CounselingCareer CounselingBehavioral Health CounselingSocial Anxiety TherapyCognitive Behavior TherapyEMDR TherapyPsychotherapySleep TherapySound TherapyMusic TherapyCouples TherapyEmotional Freedom Technique (EFT)Mental WellnessAnger Management ClassStress CounselingWomen's HealthTrauma ClassHypnotherapyRelaxation TechniqueVisualization TechniqueMindfulness ClassSomatic Experiencing TherapyNeurofeedbackInsomniaNurseMindful EatingEating Disorder TreatmentPain ManagementDepression CounselingAnxiety TreatmentBereavement SupportNurse PractitionerArt TherapyPTSD TreatmentSelf CarePersonal Growth WorkshopEmotional Wellness

Next available on Thu, Oct 1

Wed Sep 30 No appts
Thu Oct 1 17 appts
Fri Oct 2 No appts
Sat Oct 3 No appts
Sun Oct 4 No appts
Mon Oct 5 14 appts
Tue Oct 6 12 appts
More

Westfield IN US Free 15-minute intro call (book at rptelehealth.com/intro-call)
Trang Ca Laube
Family Nurse Practitioner
Sofia Verified
Serves Westfield, IN Free intro consult Virtual available

To book, please use my own website: rptelehealth.com/intro-call (a free 15-minute call). Booking th… Read bio

Family Nurse Practitioner Functional Medicine PractitionerHolistic HealthCounselingNutrition CounselingMental WellnessObesity CareWomen's HealthIntegrative HealthGoal SettingInsomniaNurseDigestive IssuesWellness CounselingPain ManagementGut HealthNurse PractitionerImmune Support

No availability this week

Wed Sep 30 No appts
Thu Oct 1 No appts
Fri Oct 2 No appts
Sat Oct 3 No appts
Sun Oct 4 No appts
Mon Oct 5 No appts
Tue Oct 6 No appts
More

View all related practitioners →

Clients trust Sofia Health

★★★★★
Finding the right provider was simple, and booking my appointment took just a few minutes. The whole experience felt easy from start to finish.

— Amanda K.
★★★★★
I loved being able to compare different providers and find someone who matched what I was looking for. Sofia Health made the process so much easier.

— Danielle M.
★★★★★
Everything was straightforward—from finding a provider to scheduling my appointment. I’ll definitely use Sofia Health again.

— Jordan T.

Frequently Asked Questions

How can I make a same-day appointment with a Mental Health Therapist in Fresno, TX?

Same day appointments are available with many Mental Health Therapists. For the most part, clients who use Sofia to search for a Mental Health Therapist in Fresno, TX can schedule an appointment and see the Mental Health Therapist within 24 hours. You can search for real-time availability of Mental Health Therapists in Fresno, TX and make an appointment online today.

How can I book an appointment online with a Mental Health Therapist in Fresno, TX?

Sofia is a free online service that helps clients find Mental Health Therapists in Fresno, TX and book appointments instantly. You can search for Fresno, TX Mental Health Therapists by symptom, health goal or visit reason. You can explore Mental Health Therapist services, book a virtual appointment, join group classes or schedule an initial consultation. 

How can I find a top-rated Mental Health Therapist in Fresno, TX?

You can use Sofia to find Mental Health Therapists in Fresno, TX who are highly rated. View each Mental Health Therapists education, license and certification credentials. Watch their video introductions and book a virtual consultation see if they are a good fit for you.  

How can I schedule a virtual visit with a Mental Health Therapist in Fresno, TX?

Almost all Mental Health Therapists in Fresno, TX on Sofia have virtual visits available. Every Mental Health Therapist can be scheduled online for either in-person or virtual appointments. When you book your session, choose in person or online.  

How can I find a Fresno, TX Mental Health Therapist who sees clients after hours?

On Sofia, you can search specifically for Fresno, TX Mental Health Therapists with availability after normal business hours.

How can I find same day appointments near me for Mental Health Therapists in Fresno, TX?

Sofia lets you see real-time availability for Mental Health Therapists in Fresno, TX. Many Mental Health Therapists offer same day appointments.  

How can I find a Mental Health Therapist in Fresno, TX who sees clients during the weekend?

Sofia let's you see real-time availability for Mental Health Therapists in Fresno, TX. Many Mental Health Therapists offer appointments on Saturdays and Sundays.

How can I find group classes near me from Mental Health Therapists in Fresno, TX?

Sofia lets you search for live group classes from the leading Mental Health Therapists. You can sign up for individual virtual group classes from Mental Health Therapists today or you can purchase a membership to Sofia Prime for access to unlimited monthly classes.

How can I search for Mental Health Therapist products in Fresno, TX?

Sofia lets you shop for Mental Health Therapists products. You can shop health and wellness products from the Sofia Marketplace or go to your favorite Mental Health Therapists page directly. 

How can I find live classes near me with Mental Health Therapists in Fresno, TX?

Sofia lets you take live classes from leading Mental Health Therapists. You can sign up for virtual group classes from Mental Health Therapists today.

Where can I find a licensed and credentialed Mental Health Therapist near me in Fresno, TX?

Sofia lets you search for educated, licensed, and credentialed Mental Health Therapists professionals. You can ensure you are booking with the right Mental Health Therapist for you based on credentials, language, and more.

Frequently asked questions

 

Fresno, TX

 

Fresno is an unincorporated community and census-designated place (CDP) in Fort Bend County, Texas, United States. The local population was 24,486 as of the 2020 census, up from 19,069 at the 2010 census, and 6,603 at the 2000 census. 

Fresno is located in the extra-territorial jurisdiction (ETJ) of Houston, which is the fourth largest city in the nation in population. Fresno is bordered by Houston to the north, the suburban Fort Bend County cities of Missouri City to the west and northwest, Arcola to the south and southwest, and the Brazoria County city of Pearland to the east.

Fresno is located in eastern Fort Bend County at 29°31′36″N 95°27′35″W (29.526728, -95.459849). The eastern edge of Fresno is the Brazoria County line. Downtown Houston is 17 miles (27 km) to the north, the center of Missouri City is 11 miles (18 km) to the northwest, the center of Pearland is 11 miles (18 km) to the east, and Manvel is 9 miles (14 km) to the southeast. 

According to the United States Census Bureau, the Fresno CDP has a total area of 9.3 square miles (24.1 km2), of which 9.2 square miles (23.8 km2) is land and 0.1 square miles (0.3 km2), or 1.35%, is water.

A settler from Fresno, California, reportedly chose the name. The town is on land patented in 1880 once surrounded by cotton plantations. Fresno acquired a post office in 1910. In 1914 it had a telephone connection, a general store, a hardware store, and a population of 32. By 1933 the town had only ten inhabitants and one business. In 1936 it had three rows of dwellings on both sides of a paved highway (old Hwy 288, present day FM 521) and was served by the International-Great Northern Railroad. By 1946 the population had risen to 100, a level maintained throughout the 1960s. In 1970 the figure had increased to 120; two years later it had grown to 161. During the 1970s and 1980s, the population of Fresno increased more rapidly as the area was affected by the growth of Houston.

In terms of wellness, Fresno residents benefit from proximity to healthcare facilities such as Memorial Hermann Sugar Land Hospital, ensuring access to quality medical services. The city actively promotes healthy living through community events and initiatives that encourage physical activity and well-being, making Fresno an ideal location for those seeking a balanced and health-conscious lifestyle. Explore the parks, facilities, and programs offered by the Fresno Recreation and Community Services Department. These spaces provide opportunities for outdoor activities such as walking, jogging, sports, and picnicking. Join local fitness centers and gyms to participate in exercise programs, fitness classes, and strength training. Some popular options include Gracia Barra and Primo Fitness. Discover the walking and biking trails in and around Fresno, such as the Shadow Creek Trail and the Fresno West Rim Overlook Trail. These trails offer opportunities for outdoor exercise and enjoyment of nature.

 

Top sites in Fresno, TX include Kitty Hollow Park, Houston Museum of Natural Science, Tom Bass Regional Park, Section III.

 

Population: 25,912 (2021). Elevation: 82 ft (25 m). ZIP Code: 77545. Area code: 281, 346. Area: 9.3 sq mi (24.1 km2).

 

FAQs

 

Is Fresno, TX a good place to live?

Living in Fresno offers residents a rural feel and most residents own their homes. Many families and young professionals live in Fresno and residents tend to be liberal. The public schools in Fresno are above average.

 

Is Fresno, TX expensive to live in?

The cost of living in Fresno, CA is 21% lower than the state average and 9% higher than the national average. Fresno, CA housing is 5% more expensive than the U.S. average, while utilities are about 28% pricier. When it comes to necessities such as food and clothing, groceries are around 0% in Fresno, CA than in the rest of the country, while clothing costs around 0%.

 

What is the crime rate in Fresno, TX?

The crime rate in Fresno is considerably higher than the national average across all communities in America from the largest to the smallest, although at 15 crimes per one thousand residents, it is not among the communities with the very highest crime rate. The chance of becoming a victim of either violent or property crime in Fresno is 1 in 66. Based on FBI crime data, Fresno is not one of the safest communities in America. Relative to Texas, Fresno has a crime rate that is higher than 63% of the state's cities and towns of all sizes.

 

Sources

Wikipedia

Fort Bend County

Memorial Hermann Sugar Land Hospital

Fresno Recreation and Community Services Department

Gracia Barra 

Primo Fitness

Shadow Creek Trail

Fresno West Rim Overlook Trail

Kitty Hollow Park

Houston Museum of Natural Science

Tom Bass Regional Park, Section III

Niche

RentCafe

Neighborhoodscout

 

The content herein is provided for general informational purposes only and is not a substitute for professional medical advice, diagnosis or treatment. Medical information changes constantly, and therefore the content on this website should not be assumed to be current, complete or exhaustive. Always seek the advice of your doctor before starting or changing treatment. If you think you may have a medical emergency, please call your doctor or 9-1-1 (in the United States) immediately.