Individual provider · Type 1 NPI

Marshawn Bacon

Peer Specialist · Jackson, MI

NPI number 1699632059 Active

Practice location

334 W. Franklin St.
Jackson, MI 49203

Call (517) 787-7573 Map

Mailing address

2104 W Michigan Ave Apt 201
Jackson, MI 49202-4071

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000XNone listed

Peer Specialist: 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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About NPI 1699632059

Marshawn Bacon's National Provider Identifier is 1699632059, issued on Jan 7, 2026. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Jackson, MI. The record was last updated on Jan 7, 2026.