Provider Information
Last Updated : Jan 14 2026 11:05 AM
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 No |
PPG NAME HEALTH NET DIRECT FFS MEDI-CAL |
PPG ID MHDML |
NPI Number 1801244181 |
Access Requirement Limited |
EXT_BUILD_IND EB |
INT_BUILD_IND IB |
License ID MFC07960 |
Email theresa_ellison@yahoo.com |
Board Certified No |
Self Access Flag Self Reported Data |
Panel Status Available by referral only |
