person
Jason Lee Fairweather, LPC,SACIT,CSIT
Professional Counselor in Berlin, Wisconsin
NPI 1689278590

Jason Lee Fairweather is a Professional Counselor based in Berlin, WI and is specialized in Professional. Jason Lee Fairweather practices in Berlin, WI and has the professional credentials of LPC,SACIT,CSIT. The NPI Number for Jason Lee Fairweather is 1689278590 and holds a License No. 10532-125 (Wisconsin).

The current practice location address for Jason Lee Fairweather is 553 Broadway, Berlin, WI and can be reached out via phone at 920-204-6590.

Location: 553 Broadway, Berlin, WI, 54923-1323
person
Provider Profile Details
NPI Number
1689278590
Provider Name
Jason Lee Fairweather
Credential
LPC,SACIT,CSIT
Provider Entity Type
Individual
Gender
Male
Address
553 Broadway, Berlin, WI, 54923-1323
Phone Number
920-204-6590
Fax Number
Provider Enumeration Date
11/23/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
553 Broadway
City
State
Zip
54923-1323
Phone Number
920-204-6590
Fax Number
person
Provider Business Mailing Address Details
Address
553 Broadway
City
State
Zip
54923-1323
Phone Number
920-204-6590
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
10532-125 (Wisconsin)
Definition
Definition to come...
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