Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Desirae Alisia Weatherby

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1396488516

Desirae Alisia Weatherby is an Addiction (Substance Use Disorder) Counselor in Jackson, California. Licensed in California. Registered with an NPI since 2022.

Licensed in
CA
In the registry since
2022

Practice location Address checks out

830 E Hwy 88
Jackson, CA 95642
Phone: (209) 257-1501
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X (CA)

Record details

NPI number1396488516
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 15, 2022
Last updated in NPPESApril 15, 2022
Certification dateApril 4, 2022

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