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Organization
LOCKPORT MENTAL HEALTH COUNSELING
Active
Organization
LOCKPORT MENTAL HEALTH COUNSELING
Active
Other names
Isaiah Mantooth-Jordan
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ISAIAH MANTOOTH-JORDAN LMHC (OWNER)
(716) 418-3885
Entity
Organization
Contact information
Practice address
1868 NIAGARA FALLS BLVD STE 308, TONAWANDA, NY 14150-6494
(716) 418-3885
Mailing address
1868 NIAGARA FALLS BLVD STE 308, TONAWANDA, NY 14150-6494
(716) 418-3885
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
02/16/2024
Last updated
07/30/2024
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