Organization · Type 2 NPI
Jason L. Fairweather
Professional Counselor · Berlin, WI
NPI number
1225626963
Active
Practice location
553 Broadway
Berlin, WI 54923-1323
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | None listed |
| Professional Counselor Primary | 101YP2500X | None listed |
Professional Counselor: Definition to come...
Another provider at this address
About NPI 1225626963
Jason L. Fairweather's National Provider Identifier is 1225626963, issued on Jan 7, 2021. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Berlin, WI. The record was last updated on Jan 12, 2021.