Porter, Jason Michael

Porter, Jason Michael is an sole proprietor health care provider with primary practice located at 10748 40Th St N , Lake Elmo MN 55042-2225. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Porter, Jason Michael can be contacted via phone (971) 666-9193.

Contact Information

Primary practice address
10748 40Th St N Lake Elmo MN 55042-2225
Phone: (971) 666-9193
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X CC02451 Minnesota

Profile Details

NPI number 1336760750
LBN Legal business name Porter, Jason Michael
Credentials LPCC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 27th, 2020
Last updated Jan 25th, 2024 - about 10 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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