Individual provider · Type 1 NPI

Takeisha Monique Maple

Addiction (Substance Use Disorder) Counselor · San Jacinto, CA

NPI number 1053286955 Active

Practice location

2220 Girard St
San Jacinto, CA 92583-5301

Call (951) 683-6596 Map

Mailing address

5870 Arlington Ave
Riverside, CA 92504-2037

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X12570 (CA)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1053286955

Takeisha Monique Maple's National Provider Identifier is 1053286955, issued on Oct 9, 2025. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in San Jacinto, CA. The record was last updated on Oct 9, 2025.