# VENTHOUSE COUNSELING

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164992301
- **Authorized official:** JASON MICHAEL WALTER LPCC,LADC (OWNER)
- **Authorized official phone:** (612) 562-6766

## Contact information

- **Practice address:** 8530 EAGLE POINT BLVD STE 100, LAKE ELMO, MN 55042-8648
- **Practice address phone:** (612) 562-6766
- **Practice address fax:** (612) 638-6601
- **Mailing address:** 6656 PINE CREST TRL S, COTTAGE GROVE, MN 55016-4679
- **Mailing address phone:** (612) 562-6766
- **Mailing address fax:** (612) 638-6601

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |

## Other

- **Enumeration date:** 11/30/2018
- **Last updated:** 11/30/2018
