Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Justin Jacobson

Individual provider Peer Specialist · NPI 1053032656

Justin Jacobson is a Peer Specialist in Richmond, Michigan. Registered with an NPI since 2022.

In the registry since
2022
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Practice location Address checks out

400 Stoddard Rd
Richmond, MI 48062-2505
Phone: (810) 392-2167
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X

Record details

NPI number1053032656
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 12, 2022
Last updated in NPPESSeptember 12, 2022
Certification dateSeptember 12, 2022
Mailing address16740 E 11 Mile Rd Apt 101, Roseville, MI 48066-5119

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