Individual
TYLER JACOB YOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CMHC
Contact information
Practice address
1226 W SOUTH JORDAN PKWY STE A, SOUTH JORDAN, UT 84095-5518
(801) 999-0324
Mailing address
5657 W YUKON PARK LN, HERRIMAN, UT 84096-5645
(801) 999-0324
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6668327-6004
UT
Other
Enumeration date
04/02/2007
Last updated
09/11/2018
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