Provider Information

Last Updated : Aug 30 2024 11:08 AM

Danell T Black




City
Clovis
Group
HEALTH NET DIRECT FFS MEDI-CAL
Specialty
Behavioral Prof Counselor
Last Name
Black
First Name
Danell
Middle Name
T
Address
2167 Shaw Ave Ste 115
State
CA
Zip Code
93611
Phone
(559)575-0165
Hours
Mon - Fri 8:00 AM - 5:00 PM
Gender
F
Title
M.S.
Physician ID
901403
Section Number
A
County
FRESNO
Accepting New Patient
Yes
PPG NAME
HEALTH NET DIRECT FFS MEDI-CAL
PPG ID
MHDML
NPI Number
1194390955
License ID
LPC12727
Email
danellblackcounselor@gmail.com
Board Certified
No
Panel Status
Available by referral only

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