Search › California › 1041C0700X
Chevelle Bourdon, LCSW 99121
NPI 1447507728 · on the registry since 2012 · sole proprietor
Practice
- Address
- 13941 Courage St
Moreno Valley, CA 92553 - Phone
- (951) 653-3000
- Organisation at this address
- Immanuel Sobriety Inc.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 3
Additional practice sites
- 13921 Courage St, Moreno Valley, CA
- 14340 Elsworth St Ste 108, Moreno Valley, CA
- 835 Anira Ct, Perris, CA
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Also registered as
- 101YA0400X
171M00000X - Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-06-02
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California