MEDICARE: JENNIFER C YOUNG LCSW

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	101YM0800X	Mental Health Counselor	1343687-3501	UT

General Provider Information

NPI Number	:	1467308023
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JENNIFER C YOUNG LCSW

Provider Business Mailing Address
First Line	:	4652 S WOODDUCK LN
Second Line	:
City	:	MILLCREEK
State	:	UT
Zip	:	84117-4819
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4652 S WOODDUCK LN
Second Line	:
City	:	MILLCREEK
State	:	UT
Zip	:	84117-4819
Country	:	US
Telephone Number	:	801-449-0096
Fax Number	:

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

Provider Enumeration Date	:	03/06/2026
Last Update Date	:	03/06/2026

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