Individual
JENNY MONDRAGON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
517 DELTONA BLVD STE A, DELTONA, FL 32725-8016
(386) 259-5413
Mailing address
15501 BRUCE B DOWNS BLVD APT 2411, TAMPA, FL 33647-1312
(954) 907-3424
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
10/12/2018
Last updated
10/12/2018
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