Individual provider · Type 1 NPI

Kellie Bougard -Jordan

Professional Counselor · Santa Ana, CA

NPI number 1245672500 Active

Practice location

401 W Civic Center Dr Ste 600
Santa Ana, CA 92701-4515

Call (714) 480-6767 Map

Mailing address

PO Box 2843
Chino Hills, CA 91709-0095

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XLPCC7815 (CA)

Professional Counselor: Definition to come...

2 other providers at this address

Other professional counselor providers in Santa Ana

See all in Santa Ana →

About NPI 1245672500

Kellie Bougard -Jordan's National Provider Identifier is 1245672500, issued on Jul 26, 2013. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Santa Ana, CA. The record was last updated on Nov 21, 2022.