Individual
MARCUS WEATHERS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRC, LPC-IT
Contact information
Practice address
5930 SEMINOLE CENTRE CT STE C, FITCHBURG, WI 53711-5165
(608) 630-8889
Mailing address
6301 OFFSHORE DR APT 314, MADISON, WI 53705-4386
(608) 772-2453
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
06/13/2022
Last updated
07/26/2023
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