Provider Demographics
NPI:1134500366
Name:PEYNADO, KADIAN P (LPC)
Entity Type:Individual
Prefix:
First Name:KADIAN
Middle Name:P
Last Name:PEYNADO
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:120 W 7TH ST STE 215
Mailing Address - Street 2:
Mailing Address - City:PLAINFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07060-1629
Mailing Address - Country:US
Mailing Address - Phone:908-531-6905
Mailing Address - Fax:
Practice Address - Street 1:120 W 7TH ST STE 215
Practice Address - Street 2:
Practice Address - City:PLAINFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07060-1629
Practice Address - Country:US
Practice Address - Phone:908-531-6905
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-06-12
Last Update Date:2023-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37PC00440300101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional