Provider Information

Last Updated : Nov 22 2024 3:48 PM

Alicia Phonsurin




City
Fresno
Group
HEALTH NET DIRECT FFS MEDI-CAL
Specialty
Social Worker Clinical
Last Name
Phonsurin
First Name
Alicia
Address
575 E Locust Ave Ste 101
State
CA
Zip Code
93720
Phone
(559)314-2304
Hours
Tue 9:00 AM - 8:00 PM Wed 9:00 AM - 1:00 PM Thu 9:00 AM - 7:00 PM
Gender
F
Title
MSW
Physician ID
911442
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
1497197503
Access Requirement
Basic
PARKING_IND
P
EXT_BUILD_IND
EB
INT_BUILD_IND
IB
RESTROOM_IND
R
EXAMROOM_IND
E
License ID
LCS71173
Email
healing@aplcsw.sprucecare.com
Board Certified
No
Self Access Flag
Self Reported Data
Panel Status
Available by referral only

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