person
Desirae Alisia Weatherby
Addiction (Substance Use Disorder) Counselor in Jackson, California
NPI 1396488516

Desirae Alisia Weatherby is an Addiction (Substance Use Disorder) Counselor based in Jackson, CA and is specialized in Addiction (Substance Use Disorder). Desirae Alisia Weatherby practices in Jackson, CA. The NPI Number for Desirae Alisia Weatherby is 1396488516 and holds a License No. (California).

The current practice location address for Desirae Alisia Weatherby is 830 E Hwy 88, Jackson, CA and can be reached out via phone at 209-257-1501.

Location: 830 E Hwy 88, Jackson, CA, 95642
person
Provider Profile Details
NPI Number
1396488516
Provider Name
Desirae Alisia Weatherby
Credential
Provider Entity Type
Individual
Gender
Female
Address
830 E Hwy 88, Jackson, CA, 95642
Phone Number
209-257-1501
Fax Number
Provider Enumeration Date
04/15/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
830 E Hwy 88
City
State
Zip
95642
Phone Number
209-257-1501
Fax Number
person
Provider Business Mailing Address Details
Address
830 E Hwy 88
City
State
Zip
95642
Phone Number
209-257-1501
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
(California)
Definition
Definition to come...
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