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NPI Code Detail

MEDICARE: JASON MORGAN

MEDICARE: JASON MORGAN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor3235MN

General Provider Information

NPI Number : 1649133380
Entity Type Code : Individual
Provider Name (Legal Business Name) : JASON MORGAN
Provider Business Mailing Address
First Line : 1611 COUNTY ROAD B W STE 312
Second Line :
City : ROSEVILLE
State : MN
Zip : 55113-4107
Country : US
Telephone Number : 651-243-0077
Fax Number : 651-273-2201
Provider Business Practice Location Address
First Line : 1611 COUNTY ROAD B W STE 312
Second Line :
City : ROSEVILLE
State : MN
Zip : 55113-4107
Country : US
Telephone Number : 651-243-0077
Fax Number : 651-273-2201
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/09/2025
Last Update Date : 12/09/2025

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Directions to “ JASON MORGAN ” Practice Location

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