Chevelle Marie Bourdon, LCSW 99121 Valid NPI
Individual provider · Clinical Social Worker · Moreno Valley, CA
- NPI
- 1447507728
- Type
- Individual (Type 1)
- Primary specialty
- Clinical Social Worker (Social Worker)
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 1041C0700X
- License number
- LCSW99121 (CA)
- Sex
- Female
- Sole proprietor
- Yes
- Enumerated
- 2012-08-06
- Last updated
- 2026-06-02
Practice location
13941 Courage St
Moreno Valley, CA 92553-8757
(951) 653-3000