Individual
MBWANA MWAI SAMUEL JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, CRC, CASAS
Contact information
Practice address
2470 ALLEN AVE, NIAGARA FALLS, NY 14303-1908
(716) 285-3421
(716) 285-3438
Mailing address
2470 ALLEN AVE, NIAGARA FALLS, NY 14303-1908
(716) 285-3421
(716) 285-3438
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
28675
NY
Other
Enumeration date
04/11/2023
Last updated
08/21/2025
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