Individual provider · Type 1 NPI

Justin Michael Mandosking

Peer Specialist · St. Ignace, MI

NPI number 1902565369 Active

Practice location

248 Ferry Ln
St. Ignace, MI 49781-1828

Mailing address

812 Brown St
Sault Sainte Marie, MI 49783-2212

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 1902565369

Justin Michael Mandosking's National Provider Identifier is 1902565369, issued on Dec 14, 2021. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in St. Ignace, MI. The record was last updated on Jun 20, 2023.