JASON MICHAEL PORTER

LAKE ELMO, MN
NPI1336760750
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: MN  cc02451)
Enumeration Date2020-04-27
Last Update Date2024-01-25
Business Address
JASON MICHAEL PORTER LPCC
10748 40TH ST N
LAKE ELMO, MN 55042-2225
Phone number: 971-666-9193
Mailing Address
JASON MICHAEL PORTER LPCC
10748 40TH ST N
LAKE ELMO, MN 55042-2225
Phone number: 971-666-9193
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