Individual
JARED MICHAEL SHORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MFTI
Contact information
Practice address
185 N VERNAL AVE, VERNAL, UT 84078-2100
(435) 789-1305
Mailing address
185 N VERNAL AVE, VERNAL, UT 84078-2100
(435) 789-1305
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
10/21/2021
Last updated
10/21/2021
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