Keileisha Louise Weaver

NPI #1376130021 in Alpine, California

Provider Information

NPI Number: 1376130021
Entity Type: Individual
Name: Keileisha Louise Weaver
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Enumeration Date: Dec 29, 2020
Last Updated: May 6, 2025

Practice Location

Address: 2271 ALPINE BLVD STE A
City: Alpine
State: California
ZIP Code: 91901-1101
Phone: (619) 289-7322

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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