MEDICARE: JACOLBY YOUNG

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101Y00000X	Counselor

General Provider Information

NPI Number	:	1457230534
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JACOLBY YOUNG

Provider Business Mailing Address
First Line	:	8187 CLARK RD
Second Line	:
City	:	FORT MEADE
State	:	MD
Zip	:	20755-1120
Country	:	US
Telephone Number	:	619-387-6932
Fax Number	:

Provider Business Practice Location Address
First Line	:	8141 TELEGRAPH RD
Second Line	:
City	:	SEVERN
State	:	MD
Zip	:	21144-3256
Country	:	US
Telephone Number	:	410-672-2862
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/02/2025
Last Update Date	:	09/02/2025

Similar Medicare Providers

1053891135 — VESTA, INC.
Practice Location Address:

8141 TELEGRAPH RD , SUITES E, F & G
SEVERN, MD
21144-3256

Practice Phone: 240-296-1370
Practice Fax:

1790995017 — VESTA, INC.
Practice Location Address:

8141 TELEGRAPH RD
SEVERN, MD
21144-3256

Practice Phone: 240-296-1370
Practice Fax: 410-672-2869

1275744757 — VESTA, INC.
Practice Location Address:

8141 TELEGRAPH RD
SEVERN, MD
21144-3256

Practice Phone: 240-296-1370
Practice Fax: 410-672-2869

1871252304 — VESTA, INC.
Practice Location Address:

8141 TELEGRAPH RD
SEVERN, MD
21144-3256

Practice Phone: 240-731-6593
Practice Fax:

1952268948 — MS. LESLIE MILLER
Practice Location Address:

8141 TELEGRAPH RD
SEVERN, MD
21144-3256

Practice Phone: 410-672-2862
Practice Fax:

1225997521 — TAISHA CHALENE LOCKHART
Practice Location Address:

8141 TELEGRAPH RD # R
SEVERN, MD
21144-3256

Practice Phone: 240-296-6038
Practice Fax:

Directions to “ JACOLBY YOUNG ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.