Justin Jacobson is a Peer Specialist based in Roseville, MI. Justin Jacobson practices in Richmond, MI. The NPI Number for Justin Jacobson is 1053032656 and holds a License No. (Michigan).
The current practice location address for Justin Jacobson is 400 Stoddard Rd, Richmond, MI and can be reached out via phone at 810-392-2167.
Location: 400 Stoddard Rd, Richmond, MI, 48066-5119
Provider Profile Details
NPI Number
1053032656
Provider Name
Justin Jacobson
Credential
Provider Entity Type
Individual
Gender
Male
Address
400 Stoddard Rd, Richmond, MI, 48066-5119
Phone Number
810-392-2167
Fax Number
Provider Enumeration Date
09/12/2022
Last Update Date
03/10/2024
Provider Business Practice Location Address Details
Address
400 Stoddard Rd
City
State
Zip
48062-2505
Phone Number
810-392-2167
Fax Number
Provider Business Mailing Address Details
Address
400 Stoddard Rd
City
State
Zip
48062-2505
Phone Number
810-392-2167
Fax Number
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
License No.
()
Definition
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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