Provider Demographics
NPI:1154201754
Name:YOUNG, SARA J (APCC)
Entity type:Individual
Prefix:
First Name:SARA
Middle Name:J
Last Name:YOUNG
Suffix:
Gender:F
Credentials:APCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2333 VERSAILLES ST
Mailing Address - Street 2:
Mailing Address - City:SAN JACINTO
Mailing Address - State:CA
Mailing Address - Zip Code:92583-5796
Mailing Address - Country:US
Mailing Address - Phone:951-219-2761
Mailing Address - Fax:
Practice Address - Street 1:501 W REDLANDS BLVD STE B
Practice Address - Street 2:
Practice Address - City:REDLANDS
Practice Address - State:CA
Practice Address - Zip Code:92373-4642
Practice Address - Country:US
Practice Address - Phone:909-686-6233
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-04
Last Update Date:2025-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty