Individual provider · Type 1 NPI

Dylan Thomas Eilken

Peer Specialist · Pasadena, CA

NPI number 1265218762 Active

Practice location

1230 N Marengo Ave
Pasadena, CA 91103-2217

Call (626) 797-1124 Map

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XR1523050823 (CA)
Peer Specialist Primary 175T00000XMPSS-GKTBSF (CA)

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 1265218762

Dylan Thomas Eilken's National Provider Identifier is 1265218762, issued on Aug 31, 2023. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Pasadena, CA. The record was last updated on Oct 16, 2024.