Provider Type Icon

CANDICE ROSE MONDRAGON NPI 1407191596


NPI Profile

NPI: 1407191596
Provider Name: CANDICE ROSE MONDRAGON
Classification:Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
1101 W MOANA LN
SUITE 2
RENO, NV
ZIP 89509
Get Directions

Phone: (775) 337-2394

Candice Rose Mondragon is a mental health counselor in Reno, NV. Candice Rose Mondragon NPI is 1407191596. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1101 W MOANA LN
SUITE 2
RENO, NV
ZIP 89509-775
Phone: (775) 337-2394
Fax: (775) 337-9570

The enumeration date for this NPI number is 11/30/2012 and was last updated on 3/4/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1103K00000XBehavior AnalystNo
2101YM0800XCounselorMental HealthYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/7/2021

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.