Individual
MICHAEL SHANE YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CMHC
Contact information
Practice address
128 S 300 W, BICKNELL, UT 84715-7722
(435) 425-3744
Mailing address
PO BOX 303, BICKNELL, UT 84715-0303
(435) 425-3744
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
14275660-6004
UT
101YM0800X
Mental Health Counselor
14275660-6004
UT
172V00000X
Community Health Worker
Primary
14275660-6004
UT
Other
Enumeration date
04/01/2026
Last updated
04/01/2026
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