Individual provider · Type 1 NPI

Taylor Jordan Eden, CSA

Peer Specialist · Ashland, KY

NPI number 1114541604 Active

Practice location

2516 Carter Ave
Ashland, KY 41101-7830

Call (606) 393-1522 Map

Mailing address

PO Box 790
Ashland, KY 41105-0790

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000XNone listed
Peer Specialist Primary 175T00000XNone listed

Peer Specialist: Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

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About NPI 1114541604

Taylor Jordan Eden, CSA's National Provider Identifier is 1114541604, issued on Jun 1, 2020. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Ashland, KY. The record was last updated on Feb 21, 2025.