Individual provider · Type 1 NPI

Keandre Raheem Weathersby

Addiction (Substance Use Disorder) Counselor · San Leandro, CA

NPI number 1538066469 Active

Practice location

2035 Fairmount Dr
San Leandro, CA 94578

Call (510) 346-7836 Map

Mailing address

800 Loon St
Lathrop, CA 95330-8046

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X26970 (CA)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1538066469

Keandre Raheem Weathersby's National Provider Identifier is 1538066469, issued on Oct 23, 2026. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in San Leandro, CA. The record was last updated on Oct 23, 2026.