Provider Demographics
NPI:1225501091
Name:YOUNG, DONILEE (CMHC)
Entity Type:Individual
Prefix:MS
First Name:DONILEE
Middle Name:
Last Name:YOUNG
Suffix:
Gender:F
Credentials:CMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:440 D ST STE 205
Mailing Address - Street 2:
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84103-2828
Mailing Address - Country:US
Mailing Address - Phone:801-408-1532
Mailing Address - Fax:801-408-1530
Practice Address - Street 1:440 D ST STE 205
Practice Address - Street 2:
Practice Address - City:SALT LAKE CITY
Practice Address - State:UT
Practice Address - Zip Code:84103-2828
Practice Address - Country:US
Practice Address - Phone:906-408-1532
Practice Address - Fax:801-408-1530
Is Sole Proprietor?:No
Enumeration Date:2019-01-04
Last Update Date:2019-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT9584088101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
UT9584088-6004OtherCLINICAL MENTAL HEALTH COUNSELOR