person
Jason Michael Porter, LPCC
Mental Health Counselor in Lake Elmo, Minnesota
NPI 1336760750

Jason Michael Porter is a Mental Health Counselor based in Lake Elmo, MN and is specialized in Mental Health. Jason Michael Porter practices in Lake Elmo, MN and has the professional credentials of LPCC. The NPI Number for Jason Michael Porter is 1336760750 and holds a License No. CC02451 (Minnesota).

The current practice location address for Jason Michael Porter is 10748 40Th St N, Lake Elmo, MN and can be reached out via phone at 971-666-9193.

Location: 10748 40Th St N, Lake Elmo, MN, 55042-2225
person
Provider Profile Details
NPI Number
1336760750
Provider Name
Jason Michael Porter
Credential
LPCC
Provider Entity Type
Individual
Gender
Male
Address
10748 40Th St N, Lake Elmo, MN, 55042-2225
Phone Number
971-666-9193
Fax Number
Provider Enumeration Date
04/27/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
10748 40Th St N
City
State
Zip
55042-2225
Phone Number
971-666-9193
Fax Number
person
Provider Business Mailing Address Details
Address
10748 40Th St N
City
State
Zip
55042-2225
Phone Number
971-666-9193
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
CC02451 (Minnesota)
Definition
Definition to come...
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