Individual
JASON YOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
81557 DR CARREON BLVD STE C9, INDIO, CA 92201-5562
(760) 391-6999
Mailing address
81557 DR CARREON BLVD STE C9, INDIO, CA 92201-5562
(760) 391-6999
(760) 391-6998
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
—
—
175T00000X
Peer Specialist
Primary
MPSS-DGIJHE
CA
225400000X
Rehabilitation Practitioner
—
CA
Other
Enumeration date
01/21/2026
Last updated
02/18/2026
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