Healthcare Provider Details

I. General information

NPI: 1619872850
Provider Name (Legal Business Name): JOSHUA KANE YOUNG APCC, CRC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: KANE YOUNG

II. Dates (important events)

Enumeration Date: 10/08/2026
Last Update Date: 10/08/2026
Certification Date: 10/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

681 MAIN ST STE 217
PLACERVILLE CA
95667-5748
US

IV. Provider business mailing address

PO BOX 41354
SACRAMENTO CA
95841-0354
US

V. Phone/Fax

Practice location:
  • Phone: 530-213-3131
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberAPCC23670
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: