Provider Demographics
NPI:1669363305
Name:MCPEEK, JADEN SHIAN I
Entity type:Individual
Prefix:MS
First Name:JADEN
Middle Name:SHIAN
Last Name:MCPEEK
Suffix:I
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2234 OTSEGO AVE
Mailing Address - Street 2:
Mailing Address - City:COSHOCTON
Mailing Address - State:OH
Mailing Address - Zip Code:43812-9774
Mailing Address - Country:US
Mailing Address - Phone:740-610-8798
Mailing Address - Fax:
Practice Address - Street 1:2234 OTSEGO AVE
Practice Address - Street 2:
Practice Address - City:COSHOCTON
Practice Address - State:OH
Practice Address - Zip Code:43812-9774
Practice Address - Country:US
Practice Address - Phone:740-610-8798
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-11
Last Update Date:2025-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician