Provider Information

Last Updated : Nov 21 2024 4:24 PM

Russell D Pippin




City
Clovis
Group
HEALTH NET DIRECT FFS MEDI-CAL
Specialty
Marriage/Family Counseling
Last Name
Pippin
First Name
Russell
Middle Name
D
Address
55 Shaw Ave Ste 115
State
CA
Zip Code
93612
Phone
(559)825-1324
Hours
Mon - Fri 8:00 AM - 5:00 PM
Gender
M
Title
M.S.
Physician ID
911500
Section Number
A
County
FRESNO
Accepting New Patient
Yes
PPG NAME
HEALTH NET DIRECT FFS MEDI-CAL
PPG ID
MHDML
NPI Number
1710103387
Access Requirement
Limited
PARKING_IND
P
EXT_BUILD_IND
EB
INT_BUILD_IND
IB
RESTROOM_IND
R
License ID
LMF40133
Email
areyes@fbhn.org
Board Certified
No
Self Access Flag
Self Reported Data
Panel Status
Available by referral only

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