Individual provider · Type 1 NPI
Tyler Jacob Young, CMHC
Mental Health Counselor · South Jordan, UT
NPI number
1861513558
Active
Practice location
1226 W South Jordan Pkwy Ste A
South Jordan, UT 84095-5518
Mailing address
5657 W Yukon Park Ln
Herriman, UT 84096-5645
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 6668327-6004 (UT) |
Mental Health Counselor: Definition to come...
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About NPI 1861513558
Tyler Jacob Young, CMHC's National Provider Identifier is 1861513558, issued on Apr 2, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in South Jordan, UT. The record was last updated on Sep 11, 2018.