Healthcare Provider Details

I. General information

NPI: 1982531976
Provider Name (Legal Business Name): JENNIFER YOUNG
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/05/2026
Last Update Date: 05/05/2026
Certification Date: 05/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4380 S SYRACUSE ST STE 308
DENVER CO
80237-2625
US

IV. Provider business mailing address

9724 CANBERRA DR
HIGHLANDS RANCH CO
80130-7164
US

V. Phone/Fax

Practice location:
  • Phone: 720-722-3691
  • Fax:
Mailing address:
  • Phone: 720-722-3691
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: