Provider Information

Last Updated : Jul 29 2024 11:07 AM

Courtney L Vidal




City
Fresno
Group
HEALTH NET DIRECT FFS MEDI-CAL
Specialty
Qualified Autism Svc Provider
Last Name
Vidal
First Name
Courtney
Middle Name
L
Address
6177 N Thesta St Ste 103
State
CA
Zip Code
93710
Phone
(855)223-7123
Hours
Mon - Fri 8:00 AM - 5:00 PM
Gender
F
Title
M.A.
Physician ID
187177
Section Number
4
County
FRESNO
Accepting New Patient
Yes
PPG NAME
HEALTH NET DIRECT FFS MEDI-CAL
PPG ID
MHDML
NPI Number
1215271937
License ID
BCB19568
Email
kjimenez@acesaba.com
Board Certified
No
Panel Status
Available by referral only
PHY CCT IND
N

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