JEANETTE NICOLE MAGGARD
NPI 1639035603
Counselor - Addiction (Substance Use Disorder) in Perris, CA
Active since January 02, 2026
About Jeanette Nicole Maggard NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JEANETTE NICOLE MAGGARD (NPI 1639035603) is an individual addiction (substance use disorder) provider in Perris, California, licensed in California (R1550020224) and active in the NPI registry since January 2026. She maintains 3 additional practice locations.
NPPES Registry Identity
NPI1639035603
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameJEANETTE NICOLE MAGGARD
Location Address835 ANIRA CTPerris, CA 92571-5113
Mailing Address484 Granite View DrPerris, CA 92571-3330 · (951) 653-3000
Phone(951) 435-7199
Sole ProprietorNo
Enumeration DateJanuary 2, 2026
NPPES CertifiedJanuary 2, 2026
✔ NPI 1639035603 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in CA · R1550020224
835 ANIRA CT, Perris, CA 92571
Secondary Practice Locations 3
Location 113921 Courage StMoreno Valley, CA 92553-8757 · Phone (951) 653-3000
Location 213941 Courage StMoreno Valley, CA 92553-8757 · Phone (951) 653-3000
Location 314340 Elsworth StMoreno Valley, CA 92553-9019 · Phone (951) 653-3000
Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1639035603, enumerated as an "individual" on January 02, 2026.
The provider is located at 835 ANIRA CT PERRIS, CA 92571 and the phone number is (951) 435-7199.
Counselor with taxonomy code 101YA0400X and a focus in Addiction (Substance Use Disorder).
