Provider Information
Last Updated : Aug 30 2024 11:08 AM
Mark H Jackson
City Clovis |
Group HEALTH NET DIRECT FFS MEDI-CAL |
Specialty Social Worker Clinical |
Last Name Jackson |
First Name Mark |
Middle Name H |
Address 106 Pollasky Ave Ste D |
State CA |
Zip Code 93612 |
Phone (559)203-3775 |
Hours Mon - Fri 9:00 AM - 7:00 PM |
Gender M |
Title MSW |
Physician ID 906763 |
Language 1 Spanish |
Section Number A |
County FRESNO |
Accepting New Patient Yes |
PPG NAME HEALTH NET DIRECT FFS MEDI-CAL |
PPG ID MHDML |
NPI Number 1487976387 |
Access Requirement Limited |
PARKING_IND P |
EXT_BUILD_IND EB |
INT_BUILD_IND IB |
RESTROOM_IND R |
License ID LCS60523 |
Email staff@minddivers.com |
Board Certified No |
Self Access Flag Self Reported Data |
Panel Status Available by referral only |