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Ms. Kellie Bougard -jordan
Professional Counselor in Santa Ana, California
NPI 1245672500

Kellie Bougard -jordan is a Professional Counselor based in Chino Hills, CA and is specialized in Professional. Kellie Bougard -jordan practices in Santa Ana, CA. The NPI Number for Kellie Bougard -jordan is 1245672500 and holds a License No. LPCC7815 (California).

The current practice location address for Kellie Bougard -jordan is 401 W Civic Center Dr Ste 600, Santa Ana, CA and can be reached out via phone at 714-480-6767.

Location: 401 W Civic Center Dr Ste 600, Santa Ana, CA, 91709-0095
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1245672500
Provider Name
Kellie Bougard -jordan
Credential
Provider Entity Type
Individual
Gender
Female
Address
401 W Civic Center Dr Ste 600, Santa Ana, CA, 91709-0095
Phone Number
714-480-6767
Fax Number
Provider Enumeration Date
07/26/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
401 W Civic Center Dr Ste 600
City
Santa Ana
State
California
Zip
92701-4515
Phone Number
714-480-6767
Fax Number
person
Provider Business Mailing Address Details
Address
401 W Civic Center Dr Ste 600
City
Santa Ana
State
California
Zip
92701-4515
Phone Number
714-480-6767
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
LPCC7815 (California)
Definition
Definition to come...
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