Individual
J. CHRISTOPHER YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D
Contact information
Practice address
3150 N 12TH ST, GRAND JUNCTION, CO 81506-2863
(970) 242-5707
Mailing address
PO BOX 10700, GRAND JUNCTION, CO 81502-5517
(970) 242-5707
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1248
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01356
BLUE CROSS/BLUE SHIELD
CO
01
—
8023-6
TRICARE
CO
Enumeration date
09/20/2006
Last updated
07/08/2007
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