Healthcare Provider Details

I. General information

NPI: 1699633602
Provider Name (Legal Business Name): JAYDEN ELIZABETH ARBAUGH
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/10/2026
Last Update Date: 01/10/2026
Certification Date: 01/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

680 E MAIN ST
JACKSON OH
45640-2152
US

IV. Provider business mailing address

680 E MAIN ST
JACKSON OH
45640-2152
US

V. Phone/Fax

Practice location:
  • Phone: 740-529-0141
  • Fax:
Mailing address:
  • Phone: 740-529-0141
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: