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Jason Matthew Powell
Peer Specialist in Bartlesville, Oklahoma
NPI 1114403318

Jason Matthew Powell is a Peer Specialist based in Bartlesville, OK. Jason Matthew Powell practices in Bartlesville, OK. The NPI Number for Jason Matthew Powell is 1114403318 and holds a License No. (Oklahoma).

The current practice location address for Jason Matthew Powell is 1025 S Keeler Ave, Bartlesville, OK and can be reached out via phone at 918-697-8588. You can also correspond with Jason Matthew Powell through the mailing address at 1025 S KEELER AVE, BARTLESVILLE, OK - 74003-4754 (mailing address contact number: 918-697-8588).

Location: 1025 S Keeler Ave, Bartlesville, OK, 74003-4754
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1114403318
Provider Name
Jason Matthew Powell
Credential
Provider Entity Type
Individual
Gender
Male
Address
1025 S Keeler Ave, Bartlesville, OK, 74003-4754
Phone Number
918-697-8588
Fax Number
Provider Enumeration Date
07/11/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1025 S Keeler Ave
City
Bartlesville
State
Oklahoma
Zip
74003-4754
Phone Number
918-697-8588
Fax Number
person
Provider Business Mailing Address Details
Address
1025 S Keeler Ave
City
Bartlesville
State
Oklahoma
Zip
74003-4754
Phone Number
918-697-8588
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
()
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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