Walter, Jason Michael

Walter, Jason Michael is an sole proprietor health care provider with primary practice located at 8530 Eagle Point Blvd Ste 100 , Lake Elmo MN 55042-8648. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Walter, Jason Michael can be contacted via phone (612) 562-6766.

Contact Information

Primary practice address
8530 Eagle Point Blvd Ste 100 Lake Elmo MN 55042-8648
Phone: (612) 562-6766
Fax: (612) 638-6601
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 01898 Minnesota
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 304589 Minnesota

Profile Details

NPI number 1417405317
LBN Legal business name Walter, Jason Michael
Credentials LPCC, LADC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 20th, 2016
Last updated Nov 30th, 2018 - about 6 years 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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