Jason Lee Fairweather, LPC, SACIT, CSIT
NPI #1689278590 in Berlin, Wisconsin
Provider Information
- NPI Number
- 1689278590
- Entity Type
- Individual
- Name
- Jason Lee Fairweather, LPC, SACIT, CSIT
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Professional
- Credential
- LPC, SACIT, CSIT
- Enumeration Date
- Nov 23, 2020
- Last Updated
- Sep 26, 2023
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
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Organizations
| Provider Name | |
|---|---|
| Jason L. Fairweather |
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