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1861513558
TYLER JACOB YOUNG
SOUTH JORDAN, UT
NPI
1861513558
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: UT 6668327-6004)
Enumeration Date
2007-04-02
Last Update Date
2018-09-11
Business Address
TYLER JACOB YOUNG CMHC
1226 W SOUTH JORDAN PKWY STE A
SOUTH JORDAN, UT 84095-5518
Phone number: 801-999-0324
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Mailing Address
TYLER JACOB YOUNG CMHC
5657 W YUKON PARK LN
HERRIMAN, UT 84096-5645
Phone number: 801-999-0324
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