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Organization
MAPLE LEAF COUNSELING, INC.
Active
Organization
MAPLE LEAF COUNSELING, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTOINETTE IBRAHIMI PSY.D. (OWNER)
(626) 818-8327
Entity
Organization
Contact information
Practice address
411 N INDIAN HILL BLVD, CLAREMONT, CA 91711-4614
(626) 818-8327
Mailing address
1035 W 14TH ST, UPLAND, CA 91786-2678
(626) 818-8327
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
04/24/2024
Last updated
04/30/2024
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