IndividualActive
Jason Porter, LPCC
NPI 1336760750 · Mental Health Counselor · Lake Elmo, MN
Jason Porter, LPCC is a Mental Health Counselor provider in Lake Elmo, MN (NPI 1336760750).
Provider details
- NPI number
- 1336760750
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Credential
- LPCC
- Sex
- Male
- Sole proprietor
- Yes
- License
- CC02451 (MN)
Practice location
10748 40th St N
Lake Elmo, MN 55042-2225
Phone: (971) 666-9193
Approximate (ZIP-level) locationGet directions
Mailing address
10748 40th St N
Lake Elmo, MN 55042-2225
Registry dates
- Enumerated
- 2020-04-27
- Last updated
- 2024-01-25
- Certified
- 2024-01-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.