Individual
JUSTIN JAY MONROE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PEER SUPPORT SPECIAL
Contact information
Practice address
790 FULLER AVE NE, GRAND RAPIDS, MI 49503-1918
(616) 336-3909
Mailing address
4226 DEL MAR CT SW, WYOMING, MI 49418-8737
(517) 803-1563
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
MI
Other
Enumeration date
12/16/2025
Last updated
12/16/2025
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