| Doctor Name: | MRS. BONNIE MONDRAGON |
| NPI Number: | 1104248525 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LPC |
| License Number: | 68484 |
| Business Practice Address: | 1111 W Adoue St Alvin, TX - 775112718 |
| Business Phone Number: | 8324578854 |
| Business Fax Number: | |
| Mailing Address: | 102 W Larkspur Dr, ALVIN |
| State: | TX |
| Postal Code: | 775115102 |
| Phone Number: | 8324578854 |
| Fax Number: | |
| NPI Enumeration Date: | 01/21/2014 |
| NPI Last Update Date: | 03/16/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 68484 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |