Individual
ANDREA MONDRAGON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1612 WIND RIDGE DR NW, ALBUQUERQUE, NM 87120-3892
(505) 377-1846
Mailing address
1612 WIND RIDGE DR NW, ALBUQUERQUE, NM 87120-3892
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
1041C0700X
Clinical Social Worker
Primary
SWB-2023-1044
NM
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/23/2022
Last updated
07/30/2026
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