Provider Information
Last Updated : Nov 21 2024 4:24 PM
Angela N Hickenbottom
City Clovis |
Group HEALTH NET DIRECT FFS MEDI-CAL |
Specialty Marriage/Family Counseling |
Last Name Hickenbottom |
First Name Angela |
Middle Name N |
Address 777 Minnewawa Ave Ste 32 |
State CA |
Zip Code 93612 |
Phone (408)559-3403 |
Hours Mon - Fri 9:00 AM - 6:00 PM |
Title MSP |
Physician ID 906284 |
Section Number A |
County FRESNO |
Accepting New Patient No |
PPG NAME HEALTH NET DIRECT FFS MEDI-CAL |
PPG ID MHDML |
NPI Number 1679886279 |
Access Requirement Limited |
PARKING_IND P |
EXT_BUILD_IND EB |
INT_BUILD_IND IB |
RESTROOM_IND R |
License ID LMF02595 |
Email eug@lgtc.net |
Board Certified No |
Self Access Flag Self Reported Data |
Panel Status Available by referral only |