MBWANA MWAI SAMUEL JOHNSON MS CRC CASAS NPI 1740975051

NPI Information

NPI: 1740975051
Provider Name: MBWANA MWAI SAMUEL JOHNSON, MS, CRC, CASAS
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
1001 11TH ST
NIAGARA FALLS, NY
ZIP 14301
Phone: (716) 278-8110
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Mbwana Mwai Samuel Johnson, MS, CRC, CASAS is an addiction (substance use disorder) counselor in Niagara Falls, NY. Mbwana Mwai Samuel Johnson, MS, CRC, CASAS NPI is 1740975051. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1001 11TH ST
NIAGARA FALLS, NY
ZIP 14301-201
Phone: (716) 278-8110
Fax: (716) 282-1238

The enumeration date for this NPI number is 4/11/2023 and was last updated on 4/11/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	28675	NEW YORK	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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