Provider Information

Last Updated : Apr 3 2025 11:09 AM

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
License ID
LMF02595
Email
eug@lgtc.net
Board Certified
No
Panel Status
Available by referral only

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