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Keith Alan Weathers
Peer Specialist in Ukiah, California
NPI 1467203448

Keith Alan Weathers is a Peer Specialist based in Ukiah, CA. Keith Alan Weathers practices in Ukiah, CA. The NPI Number for Keith Alan Weathers is 1467203448 and holds a License No. (California).

The current practice location address for Keith Alan Weathers is 630 Kings Ct, Ukiah, CA and can be reached out via phone at 707-468-7700.

Location: 630 Kings Ct, Ukiah, CA, 95482-5003
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1467203448
Provider Name
Keith Alan Weathers
Credential
Provider Entity Type
Individual
Gender
Male
Address
630 Kings Ct, Ukiah, CA, 95482-5003
Phone Number
707-468-7700
Fax Number
Provider Enumeration Date
03/28/2024
Last Update Date
04/14/2024
institution
Provider Business Practice Location Address Details
Address
630 Kings Ct
City
Ukiah
State
California
Zip
95482-5003
Phone Number
707-468-7700
Fax Number
person
Provider Business Mailing Address Details
Address
630 Kings Ct
City
Ukiah
State
California
Zip
95482-5003
Phone Number
707-468-7700
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
()
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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