Young, Jina L

Young, Jina L is an sole proprietor health care provider with primary practice located at 12109 Sw 4Th St , Yukon OK 73099-6805. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Young, Jina L can be contacted via phone (405) 314-5128.

Contact Information

Primary practice address
12109 Sw 4Th St Yukon OK 73099-6805
Phone: (405) 314-5128
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 407 Oklahoma
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 3675 Oklahoma

Profile Details

NPI number 1699894188
LBN Legal business name Young, Jina L
Credentials MED, LADC, LPC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 28th, 2007
Last updated Jun 14th, 2010 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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