Michele E Bourbonnais, LPCC | |
675 W Foothill Blvd Ste 200, Claremont, CA 91711-3475 | |
(925) 282-1778 | |
Not Available |
Full Name | Michele E Bourbonnais |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 675 W Foothill Blvd Ste 200, Claremont, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1699148650 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 5975 (California) | Secondary |
101YP2500X | Counselor - Professional | LPCC5975 (California) | Primary |
Entity Name | Pacific Coast Psychiatric Associates Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023125465 PECOS PAC ID: 2567469174 Enrollment ID: O20061024000383 |
Mailing Address | Practice Location Address |
---|---|
Michele E Bourbonnais, LPCC 675 W Foothill Blvd Ste 200, Claremont, CA 91711-3475 Ph: (925) 282-1778 | Michele E Bourbonnais, LPCC 675 W Foothill Blvd Ste 200, Claremont, CA 91711-3475 Ph: (925) 282-1778 |
Ms. Jessica Maldonado, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 220 S Indian Hill Blvd Ste D, Claremont, CA 91711 Phone: 323-391-4121 | |
Katherine Boulware, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 1 N Indian Hill Blvd Ste 208, Claremont, CA 91711 Phone: 747-218-1622 | |
Evangelina Perez, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 411 N Indian Hill Blvd, Claremont, CA 91711 Phone: 626-214-8384 | |
Ms. Elizabeth Ann Valentino, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1472 Morton Cir Apt C, Claremont, CA 91711 Phone: 909-242-1499 | |
Mr. Shaun Eric Fernandez, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2243 N Mountain Ave, Claremont, CA 91711 Phone: 909-635-5778 | |
Mrs. Adrienne Kwapien Kijak, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 219 N Indian Hill Blvd, Suite 202a, Claremont, CA 91711 Phone: 818-468-9198 Fax: 818-468-9198 | |
Ms. Virginia Chapman, MSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 219 N Indian Hill Blvd Ste 201, Claremont, CA 91711 Phone: 909-624-1122 Fax: 909-625-3210 |