MR. James Sullivan Fiesta, LCSW
NPI #1013243252 in Connellsville, Pennsylvania
Provider Information
- NPI Number
- 1013243252
- Entity Type
- Individual
- Name
- MR. James Sullivan Fiesta, LCSW
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Social Worker - Clinical
- Credential
- LCSW
- Enumeration Date
- Oct 22, 2009
- Last Updated
- Feb 21, 2017
Practice Location
- Address
- 610 E CRAWFORD AVE
- Address 2
- SUITE B
- City
- Connellsville
- State
- Pennsylvania
- ZIP Code
- 15425-2171
- Phone
- (724) 603-2516
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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