Individual
MR. JAMES SULLIVAN FIESTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
610 E CRAWFORD AVE, SUITE B, CONNELLSVILLE, PA 15425-2171
(724) 603-2516
(724) 603-2514
Mailing address
610 E CRAWFORD AVE, SUITE B, CONNELLSVILLE, PA 15425-2171
(724) 603-2516
(724) 603-2514
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW126437
PA
Other
Enumeration date
10/22/2009
Last updated
02/21/2017
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