Individual
JARED PAUL YOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
632 ANDERSON AVE STE L, COOS BAY, OR 97420-1637
(385) 285-0386
Mailing address
632 ANDERSON AVE STE L, COOS BAY, OR 97420-1637
(385) 285-0386
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
1041C0700X
Clinical Social Worker
Primary
L17828
OR
Other
Enumeration date
10/05/2021
Last updated
03/27/2026
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