National Provider Identifier
Isaiah Rapheal Mantooth-Jordan, THERAPIST
Isaiah Rapheal Mantooth-Jordan, THERAPIST is listed in the NPPES registry with a primary specialty of Mental Health Counselor in Niagara Falls, NY and a listed phone number of (716) 300-8339.
Profile Overview
- NPI
- 1427544766
- Provider Type
- Individual
- Primary Specialty
- Mental Health Counselor
- Enumeration Date
- July 10, 2018
- Last Updated
- July 10, 2018
Practice Location
- 225 Old Falls St Ste 3B
- Niagara Falls, NY 14303-1262
Phone: (716) 300-8339
Specialties
- Mental Health Counselor (101YM0800X)
Full Record
- NPI
- 1427544766
- Entity Type
- Individual
- Last Name
- Mantooth-Jordan
- First Name
- Isaiah
- Middle Name
- Rapheal
- Credential
- THERAPIST
- Mailing Street Address
- 225 Old Falls St Ste 3B
- Mailing City
- Niagara Falls
- Mailing State
- NY
- Mailing ZIP Code
- 14303-1262
- Mailing Country
- US
- Mailing Phone
- (716) 300-8339
- Practice Street Address
- 225 Old Falls St Ste 3B
- Practice City
- Niagara Falls
- Practice State
- NY
- Practice ZIP Code
- 14303-1262
- Practice Country
- US
- Practice Phone
- (716) 300-8339
- Enumeration Date
- July 10, 2018
- Last Updated
- July 10, 2018
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Mental Health Counselor (101YM0800X)