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Contact Information

CHEVELLE M BOURDON, ASW
9500 MALECH RD.
SAN JOSE, CA95013
 Phone: 408-281-6555
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Addiction (Substance Use Disorder)

101YA0400X
 

Case Manager/Care Coordinator

171M00000X
 

Clinical

1041C0700X 80 Licensed Clinical Social Worker
Indicates primary specialty

NPI Profile & details for CHEVELLE M BOURDON · (Female)

NPI # 1447507728
Status Active
Credentials ASW
Entity Individual
Enumeration date 08/06/2012
Last updated 03/17/2018 - More than a year ago
Sole proprietor 1 Yes
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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