Mondragon, Candice Rose

Mondragon, Candice Rose is an individual health care provider with primary practice located at 1101 W Moana Ln Suite 2, Reno NV 89509-4775. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavioral Analyst, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Mondragon, Candice Rose can be contacted via phone (775) 337-2394.

Contact Information

Primary practice address
1101 W Moana Ln Suite 2 Reno NV 89509-4775
Phone: (775) 337-2394
Fax: (775) 337-9570
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1407191596
LBN Legal business name Mondragon, Candice Rose
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 30th, 2012
Last updated Mar 4th, 2013 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers