Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kimberly Mondragon

Individual provider Counselor · NPI 1104785542

Kimberly Mondragon is a Counselor in Edgewood, New Mexico. Licensed in New Mexico. Registered with an NPI since 2026.

Licensed in
NM
In the registry since
2026

Practice location Address checks out

215 Cowboy Way
Edgewood, NM 87015-9616
Phone: (505) 750-2707
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X · Licence CTB-2025-0948 (NM)

Record details

NPI number1104785542
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 21, 2026
Last updated in NPPESJanuary 21, 2026
Certification dateJanuary 21, 2026

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