Individual
ELIANNA MONDRAGON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1437 DENVER AVE # 237, LOVELAND, CO 80538-5226
(510) 679-3545
Mailing address
1437 DENVER AVE # 237, LOVELAND, CO 80538-5226
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
ACC 20837
CO
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/02/2016
Last updated
11/15/2018
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