Search › Wisconsin › 101YP2500X
Jason Fairweather, LPC, SACIT, CSIT
NPI 1689278590 · on the registry since 2020 · sole proprietor
Practice
- Address
- 553 Broadway
Berlin, WI 54923 - Phone
- (920) 204-6590
- Organisation at this address
- Jason L. Fairweather
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 101YP2500X
101YP2500X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-09-26
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin