| Bonnie Mondragon Counseling, Pllc | |
|
105 N Gordon St Ste 202 Alvin TX 77511-2373 | |
| (281) 585-0000 | |
| (281) 585-0080 |
| Full Name | Bonnie Mondragon Counseling, Pllc |
|---|---|
| Speciality | Counselor |
| Location | 105 N Gordon St Ste 202, Alvin, Texas |
| Authorized Official Name and Position | Bonnie G. Mondragon (OWNER) |
| Authorized Official Contact | 2815850000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bonnie Mondragon Counseling, Pllc 105 N Gordon St Ste 202 Alvin TX 77511-2373 Ph: (281) 585-0000 | Bonnie Mondragon Counseling, Pllc 105 N Gordon St Ste 202 Alvin TX 77511-2373 Ph: (281) 585-0000 |
| NPI Number | 1164164364 |
|---|---|
| Provider Enumeration Date | 04/08/2022 |
| Last Update Date | 04/08/2022 |
| Certification Date | 04/08/2022 |
| Medicare PECOS PAC ID | 7315386984 |
|---|---|
| Medicare Enrollment ID | O20240415004123 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164164364 | NPI | - | NPPES |
| 343966301 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | Bonnie Mondragon |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1104248525 PECOS PAC ID: 8224477898 Enrollment ID: I20240415004132 |
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