Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JASON MICHAEL PORTER, LPCC
Active Sole ProprietorJASON MICHAEL PORTER, LPCC is a Mental Health Counselor healthcare provider located in LAKE ELMO, Minnesota. NPI 1336760750 is currently active in the NPPES registry. Verify at CMS.
Mental Health Counselor · LAKE ELMO, MN
Registration Details
- NPI Number
- 1336760750
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 27, 2020 (6.2666937790726 yrs)
- Last Updated
- Jan 25, 2024
- License
-
CC02451 (MN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
10748 40TH ST NLAKE ELMO, MN, 550422225Browse MN providers · Browse ZIP 55042
- Phone
- 9716669193
- Primary Specialty
-
Mental Health Counselor
101YM0800X
Other Mental Health Counselor Providers in LAKE ELMO, MN
| Name | Credential | NPI |
|---|---|---|
| ALISON MAE STROOBANTS | MPS, LPCC, LADC | 1396866513 |
| JASON MICHAEL WALTER | LPCC, LADC | 1417405317 |
| MRS. HOLLY M PICKARD | MS | 1215476593 |
| MRS. COURTNEY LEITSCHUH | — | 1851828560 |
| MRS. CHANEL JOY THIRY | MA | 1811515166 |
| ALEXANDER MAAS | — | 1245964659 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.