| Jason Porter Counseling Llc | |
|
10748 40th St. N Lake Elmo MN 55042 | |
| (612) 670-1742 | |
| (651) 390-6289 |
| Full Name | Jason Porter Counseling Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 10748 40th St. N, Lake Elmo, Minnesota |
| Authorized Official Name and Position | Jason Porter (CHIEF MANAER) |
| Authorized Official Contact | 6126701742 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jason Porter Counseling Llc 10748 40th St N Lake Elmo MN 55042-2225 Ph: (612) 670-1742 | Jason Porter Counseling Llc 10748 40th St. N Lake Elmo MN 55042 Ph: (612) 670-1742 |
| NPI Number | 1942163159 |
|---|---|
| Provider Enumeration Date | 12/04/2025 |
| Last Update Date | 12/04/2025 |
| Certification Date | 11/21/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942163159 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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