Individual provider · Type 1 NPI

Keisha Whitehurst

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

NPI number 1760768790 Active

Practice location

165 W Hospitality Ln Ste 11
San Bernardino, CA 92408-3322

Call (866) 664-0426 Map

Other practice locations

  • 1260 E Arrow Hwy, Upland, CA 91786-4982 · (909) 932-1069
  • 6154 Mission Gorge Rd Ste 120, San Diego, CA 92120-3435 · (619) 285-1718

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed
Community Health Worker 172V00000XNone listed

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

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About NPI 1760768790

Keisha Whitehurst's National Provider Identifier is 1760768790, issued on Oct 21, 2011. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in San Bernardino, CA. The record was last updated on Oct 15, 2025.