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Individual

CECILIO MONDRAGON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LPC

Contact information

Practice address
203B WESTPORT DR, CABOT, AR 72023-3657
(501) 843-9233
(501) 843-9656
Mailing address
203B WESTPORT DR, CABOT, AR 72023-3657
(501) 843-9233
(501) 843-9656

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
A2103224
AR
101YM0800X
Mental Health Counselor
Primary
P2305014
AR

Other

Enumeration date
06/13/2019
Last updated
05/23/2023
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