Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

MS. Kellie Bougard -Jordan

Individual provider Professional Counselor · NPI 1245672500

MS. Kellie Bougard -Jordan is a Professional Counselor in Santa Ana, California. Licensed in California. Registered with an NPI since 2013.

Licensed in
CA
In the registry since
2013
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Practice location Address checks out

401 W Civic Center Dr Ste 600
Santa Ana, CA 92701-4515
Phone: (714) 480-6767
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence LPCC7815 (CA)

Record details

NPI number1245672500
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 26, 2013
Last updated in NPPESNovember 21, 2022
Certification dateJune 9, 2021

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