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DESIRAE ALISIA WEATHERBY
NPI 1396488516
Counselor - Addiction (Substance Use Disorder) in Jackson, CA

Active since April 15, 2022
830 E HWY 88, JACKSON, CA 95642(209) 257-1501 Get Directions Write a Review

NPPES record last updated: April 15, 2022. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Desirae Alisia Weatherby NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DESIRAE ALISIA WEATHERBY (NPI 1396488516) is an individual addiction (substance use disorder) provider in Jackson, California and active in the NPI registry since April 2022.

NPPES Registry Identity

NPI1396488516
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameDESIRAE ALISIA WEATHERBY
Location Address830 E HWY 88Jackson, CA 95642
Mailing Address830 E Hwy 88Jackson, CA 95642 · (209) 257-1501
Phone(209) 257-1501
Sole ProprietorNo
Enumeration DateApril 15, 2022
NPPES CertifiedApril 4, 2022
✔ NPI 1396488516 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
830 E HWY 88, Jackson, CA 95642
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Desirae Weatherby's NPI number?

The NPI number for Desirae Weatherby is 1396488516. It was assigned to this individual provider in the NPPES registry on April 15, 2022.

Where is Desirae Weatherby located?

Desirae Weatherby practices at 830 E Hwy 88, Jackson, CA 95642. The listed phone number is (209) 257-1501.

What is Desirae Weatherby's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Desirae Weatherby was last updated on April 15, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.