person
Ms. Ellen Ann Bourne, MSW
Mental Health Counselor in Clearlake, California
NPI 1669619714

Ellen Ann Bourne is a Mental Health Counselor based in Clearlake, CA and is specialized in Mental Health. Ellen Ann Bourne practices in Clearlake, CA and has the professional credentials of MSW. The NPI Number for Ellen Ann Bourne is 1669619714 and holds a License No. (California).

The current practice location address for Ellen Ann Bourne is 7000 S Center Dr, Clearlake, CA and can be reached out via phone at 707-994-7090 and via fax at 707-994-7092.

Location: 7000 S Center Dr, Clearlake, CA, 95422-8131
person
Provider Profile Details
NPI Number
1669619714
Provider Name
Ellen Ann Bourne
Credential
MSW
Provider Entity Type
Individual
Gender
Female
Address
7000 S Center Dr, Clearlake, CA, 95422-8131
Phone Number
707-994-7090
Fax Number
707-994-7092
Provider Enumeration Date
01/12/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
7000 S Center Dr
City
State
Zip
95422-8131
Phone Number
707-994-7090
Fax Number
707-994-7092
person
Provider Business Mailing Address Details
Address
7000 S Center Dr
City
State
Zip
95422-8131
Phone Number
707-994-7090
Fax Number
707-994-7092
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
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