MARCUS WEATHERS JR. CRC, LPC-IT - NPI 1942930045

Q: What is the provider's specialty?

The provider's specialty is Counselor with taxonomy code 101Y00000X.

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About Marcus Weathers Jr. Crc, Lpc-it NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARCUS WEATHERS JR. CRC, LPC-IT (NPI 1942930045) is an individual counselor in Fitchburg, Wisconsin and active in the NPI registry since June 2022.

NPPES Registry Identity

NPI1942930045

Entity TypeIndividualMale

Primary Taxonomy101Y00000X

Provider Legal NameMARCUS WEATHERS JR.Credential: CRC, LPC-IT

Location Address5930 SEMINOLE CENTRE CT STE CFitchburg, WI 53711-5165

Mailing Address6301 Offshore Dr Apt 314Madison, WI 53705-4386 · (608) 772-2453

Phone(608) 630-8889

Sole ProprietorNo

Enumeration DateJune 13, 2022

Last NPPES UpdateJuly 26, 2023

NPPES CertifiedJuly 26, 2023

✔ NPI 1942930045 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers

Taxonomy Code101Y00000X

Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

5930 SEMINOLE CENTRE CT STE C, Fitchburg, WI 53711

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