Individual
LESA DELANIE VIVIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LPC, CBIS
Contact information
Practice address
416 W MAIN ST, MONONGAHELA, PA 15063-2552
(412) 401-0428
Mailing address
25 CAROL AVE, MONONGAHELA, PA 15063-3534
(412) 401-0428
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
PC006221
PA
Other
Enumeration date
01/24/2013
Last updated
12/16/2024
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