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:
Health care specialties
| Specialty | Code | License # | 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 2 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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