Jason L. Fairweather
Jason L. Fairweather is an Addiction (Substance Use Disorder) Counselor in Berlin, Wisconsin. Registered with an NPI since 2021.
- In the registry since
- 2021
- Specialties on file
- 2
Practice location Address checks out
553 BroadwayBerlin, WI 54923-1323
Phone: (920) 204-6590
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Professional Counselor (primary) | Taxonomy 101YP2500X |
|---|---|
| Addiction (Substance Use Disorder) Counselor | Taxonomy 101YA0400X |
Record details
| NPI number | 1225626963 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Jason Fairweather — Owner · (920) 204-6590 |
| Other names | Walk Of Life Counseling, Llc |
| NPI enumerated | January 7, 2021 |
| Last updated in NPPES | January 12, 2021 |
| Certification date | January 12, 2021 |
| Mailing address | 553 Broadway, Berlin, WI 54923-1323 |