| Doctor Name: | MAYRA RONDON |
| NPI Number: | 1043688609 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | L.C.P.C |
| License Number: | LC4702 |
| Business Practice Address: | 19228 Racine Ct Gaithersburg, MD - 208863900 |
| Business Phone Number: | 3013517852 |
| Business Fax Number: | |
| Mailing Address: | 19228 Racine Ct, GAITHERSBURG |
| State: | MD |
| Postal Code: | 208863900 |
| Phone Number: | 3013517852 |
| Fax Number: | |
| NPI Enumeration Date: | 09/11/2015 |
| NPI Last Update Date: | 09/11/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | LC4702 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MD |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |