Individual
JASON JARVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPCC
Contact information
Practice address
215 SE 2ND AVE, GRAND RAPIDS, MN 55744-3615
(218) 326-1274
Mailing address
215 SE 2ND AVE, GRAND RAPIDS, MN 55744-3615
(218) 326-1274
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CC05479
MN
101YP2500X
Professional Counselor
Primary
7662
—
Other
Enumeration date
11/13/2023
Last updated
03/17/2026
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