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General NPI Number Information
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NPI Number | 1164164364
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Entity Type | Organization
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Legal Business Name | BONNIE MONDRAGON COUNSELING, PLLC
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Dates
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Enumeration Date | 04/08/2022
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Last Update Date | 04/08/2022
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Provider Practice Location Address
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Address Line | 105 N GORDON ST STE 202
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City | ALVIN
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State | TX
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Zip | 77511-2373
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Country | US
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Telephone | 281-585-0000
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Fax | 281-585-0080
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Provider Business Mailing Address
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Address Line | 105 N GORDON ST STE 202
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City | ALVIN
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State | TX
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Zip | 77511-2373
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Country | US
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Telephone | 281-585-0000
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MRS. BONNIE G. MONDRAGON
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Credential | MS, LPC-S, RPT-S
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Telephone | 281-585-0000
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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 |
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License Number State |
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