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Organization
VENTHOUSE COUNSELING
Active
Organization
VENTHOUSE COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASON MICHAEL WALTER LPCC,LADC (OWNER)
(612) 562-6766
Entity
Organization
Contact information
Practice address
8530 EAGLE POINT BLVD STE 100, LAKE ELMO, MN 55042-8648
(612) 562-6766
(612) 638-6601
Mailing address
6656 PINE CREST TRL S, COTTAGE GROVE, MN 55016-4679
(612) 562-6766
(612) 638-6601
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
NULL
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
11/30/2018
Last updated
11/30/2018
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