JONATHAN L FUCELLA

FORT MYERS, FL
NPI1467949628
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: FL  SW14662)
Enumeration Date2018-04-13
Last Update Date2020-09-02
Business Address
JONATHAN L FUCELLA LCSW
12550 NEW BRITTANY BLVD
FORT MYERS, FL 33907
Phone number: 239-343-9180
Mailing Address
JONATHAN L FUCELLA LCSW
PO BOX 2147
FORT MYERS, FL 33902-2147
Phone number: 239-343-9180