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

Keisanna Dranee Sparrow

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1417507799

Keisanna Dranee Sparrow is an Addiction (Substance Use Disorder) Counselor in San Pedro, California. Practices as a sole proprietor. Registered with an NPI since 2019.

In the registry since
2019

Practice location Address checks out

205 W 9th St
San Pedro, CA 90731-3711
Phone: (310) 521-9209
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

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

Record details

NPI number1417507799
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedSeptember 18, 2019
Last updated in NPPESOctober 11, 2022
Certification dateOctober 11, 2022
Mailing address205 W 9th St, San Pedro, CA 90731-3711

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