# MAPLE COUNSELING CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1891191086
- **Authorized official:** MRS. DESTINY CHAMPION M.A. L.M.F.T (MARRIAGE AND FAMILY THERAPIST)
- **Authorized official phone:** (805) 407-8235

## Contact information

- **Practice address:** 2021 SPERRY AVE STE 41, VENTURA, CA 93003-7417
- **Practice address phone:** (805) 407-8235
- **Practice address fax:** (805) 272-9370
- **Mailing address:** 438 AVENIDA DEL RECREO, OJAI, CA 93023-9608
- **Mailing address phone:** (805) 407-8235
- **Mailing address fax:** (805) 272-9370

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | IMF74915 | CA | — |
| 106H00000X | Marriage & Family Therapist | MFC39699 | CA | Yes |

## Other

- **Enumeration date:** 11/14/2014
- **Last updated:** 05/02/2017