MEDICARE: RAELENE S. WEAVER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	MFC46608	CA
2	106H00000X	Marriage & Family Therapist	MFC46608	CA

General Provider Information

NPI Number	:	1538300942
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RAELENE S. WEAVER

Provider Business Mailing Address
First Line	:	PO BOX 111353
Second Line	:
City	:	CAMPBELL
State	:	CA
Zip	:	95011-1353
Country	:	US
Telephone Number	:	408-529-4078
Fax Number	:

Provider Business Practice Location Address
First Line	:	940 SARATOGA AVE
Second Line	:
City	:	SAN JOSE
State	:	CA
Zip	:	95129-3428
Country	:	US
Telephone Number	:	408-529-4078
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/13/2009
Last Update Date	:	03/13/2009

Similar Medicare Providers

1881914000 — GRUPO MEDICO POLICLINICA SAN PEDRO MEDICARE ADVANTAGE
Practice Location Address:

211 CALLE MORSE
ARROYO, PR
00714-2350

Practice Phone: 787-839-3980
Practice Fax: 787-271-2515

1902926637 — MARILEE GENE RUEBSAMEN PH.D.
Practice Location Address:

940 SARATOGA AVE , SUITE 200
SAN JOSE, CA
95129-3428

Practice Phone: 408-723-7071
Practice Fax: 408-244-8151

1487630810 — DR. CAROLYN FINN MITCHELL PH.D.
Practice Location Address:

940 SARATOGA AVE , SUITE 200
SAN JOSE, CA
95129-3428

Practice Phone: 408-235-1566
Practice Fax:

1285848499 — DR. JAMES DUGALD LIVINGSTON PH.D.
Practice Location Address:

940 SARATOGA AVE , SUITE 200
SAN JOSE, CA
95129-3428

Practice Phone: 415-436-0788
Practice Fax: 408-244-8151

1093970386 — MS. RUBILENE NOGUERA BCBA
Practice Location Address:

940 SARATOGA AVE
SAN JOSE, CA
95129-3428

Practice Phone: 408-423-8076
Practice Fax:

1205181930 — LAURA TOLLE LMFT
Practice Location Address:

940 SARATOGA AVE , SUITE 104
SAN JOSE, CA
95129-3428

Practice Phone: 650-446-6181
Practice Fax:

Directions to “ RAELENE S. WEAVER ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.