Provider Profile Claim

Claim Provider Profile

Jason L. Fairweather

Berlin, WI Unclaimed

Submit your NPI number to verify and claim this organization. We’ll confirm your details and send account setup instructions.

NPI Number *

Email *

We’ll use this to send verification and account setup details.

Organization / Practice Name *

Contact First Name *

Contact Last Name *

Business Phone

Street Address

Address 2 / Suite

City

State

ZIP Code

Primary Specialty

License Number

NPI

1225626963
Name

Jason L. Fairweather
Account Contact

Jason Fairweather
Address

553 BROADWAY, BERLIN, WI, 54923-1323
Phone

920-204-6590
Specialties

Counselor, Addiction (substance USE Disorder) Counselor, Professional
NPPES Last Updated

2021-01-12

Claiming will create a provider account and send a welcome email with login instructions.