Bourdon, Chevelle Marie

Bourdon, Chevelle Marie is an sole proprietor health care provider with primary practice located at 13941 Courage St , Moreno Valley CA 92553-8757. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical, Other Service Providers / Case Manager/Care Coordinator. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Bourdon, Chevelle Marie can be contacted via phone (951) 653-3000.

Contact Information

Primary practice address
13941 Courage St Moreno Valley CA 92553-8757
Phone: (951) 653-3000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Behavioral Health & Social Service Providers / Clinical 1041C0700X LCSW99121 California
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1447507728
LBN Legal business name Bourdon, Chevelle Marie
Credentials LCSW 99121
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 6th, 2012
Last updated Jun 2nd, 2026 - about 4 months 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1447507728 NPPES
California Other 99121 LCSW

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