person
Jason Michael Walter, LPCC,LADC
Addiction (Substance Use Disorder) Counselor in Lake Elmo, Minnesota
NPI 1417405317

Jason Michael Walter is an Addiction (Substance Use Disorder) Counselor based in Cottage Grove, MN and is specialized in Addiction (Substance Use Disorder). Jason Michael Walter practices in Lake Elmo, MN and has the professional credentials of LPCC,LADC. The NPI Number for Jason Michael Walter is 1417405317 and holds a License No. 01898 (Minnesota).

The current practice location address for Jason Michael Walter is 8530 Eagle Point Blvd Ste 100, Lake Elmo, MN and can be reached out via phone at 612-562-6766 and via fax at 612-638-6601.

Location: 8530 Eagle Point Blvd Ste 100, Lake Elmo, MN, 55016-4679
person
Provider Profile Details
NPI Number
1417405317
Provider Name
Jason Michael Walter
Credential
LPCC,LADC
Provider Entity Type
Individual
Gender
Male
Address
8530 Eagle Point Blvd Ste 100, Lake Elmo, MN, 55016-4679
Phone Number
612-562-6766
Fax Number
612-638-6601
Provider Enumeration Date
09/20/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
8530 Eagle Point Blvd Ste 100
City
State
Zip
55042-8648
Phone Number
612-562-6766
Fax Number
612-638-6601
person
Provider Business Mailing Address Details
Address
8530 Eagle Point Blvd Ste 100
City
State
Zip
55042-8648
Phone Number
612-562-6766
Fax Number
612-638-6601
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
304589 (Minnesota)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
01898 (Minnesota)
Definition
Definition to come...
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