Provider Information

Last Updated : Nov 22 2024 3:48 PM

Theresa L Ellison




City
Fresno
Group
HEALTH NET DIRECT FFS MEDI-CAL
Specialty
Marriage/Family Counseling
Last Name
Ellison
First Name
Theresa
Middle Name
L
Address
1357 W Shaw Ave Ste 103
State
CA
Zip Code
93711
Phone
(559)545-4618
Hours
Mon 9:30 AM - 4:00 PM Tue 9:00 AM - 4:00 PM Wed 10:00 AM - 4:00 PM
Gender
F
Title
M.S.
Physician ID
904042
Section Number
A
County
FRESNO
Accepting New Patient
Yes
PPG NAME
HEALTH NET DIRECT FFS MEDI-CAL
PPG ID
MHDML
NPI Number
1801244181
License ID
LMF79605
Email
theresa_ellison@yahoo.com
Board Certified
No
Panel Status
Available by referral only

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