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Organization

JASON PORTER COUNSELING LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JASON PORTER LPCC (CHIEF MANAER)
(612) 670-1742
Entity
Organization

Contact information

Practice address
10748 40TH ST. N, LAKE ELMO, MN 55042
(612) 670-1742
(651) 390-6289
Mailing address
10748 40TH ST N, LAKE ELMO, MN 55042-2225
(612) 670-1742
(651) 390-6289

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
12/04/2025
Last updated
12/04/2025
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