| NPI | 1194227793 |
|---|---|
| Other Name | SOMATIC TRAUMA THERAPY SLC JARED N POWELL |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: UT 10239101-3501) |
| Enumeration Date | 2018-02-28 |
| Last Update Date | 2025-10-18 |