Jason L. Fairweather

NPI #1225626963 in Berlin, Wisconsin

Provider Information

NPI Number
1225626963
Entity Type
Organization
Organization Name
Jason L. Fairweather
Primary Specialty
Counselor - Professional
Enumeration Date
Jan 7, 2021
Last Updated
Jan 12, 2021

Practice Location

Address
553 BROADWAY
City
Berlin
ZIP Code
54923-1323
Phone
(920) 204-6590

Authorized Official

Name
JASON LEE FAIRWEATHER, LPCIT, SACIT
Title
OWNER
Phone
(920) 204-6590

Specialties & Taxonomy Codes

Specialty
Counselor - Addiction (Substance Use Disorder)Addiction (Substance Use Disorder)
Counselor - ProfessionalProfessional

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