Provider Information

Last Updated : Nov 21 2024 4:24 PM

Melissa M Willard




City
Clovis
Group
HEALTH NET DIRECT FFS MEDI-CAL
Specialty
Marriage/Family Counseling
Last Name
Willard
First Name
Melissa
Middle Name
M
Address
106 Pollasky Ave Ste D
State
CA
Zip Code
93612
Phone
(559)203-3775
Hours
Mon - Sat 9:00 AM - 6:00 PM
Gender
F
Title
M.A.
Physician ID
915841
Section Number
A
County
FRESNO
Accepting New Patient
Yes
PPG NAME
HEALTH NET DIRECT FFS MEDI-CAL
PPG ID
MHDML
NPI Number
1508145772
Access Requirement
Limited
PARKING_IND
P
EXT_BUILD_IND
EB
INT_BUILD_IND
IB
RESTROOM_IND
R
License ID
LMF93335
Email
staff@minddivers.com
Board Certified
No
Self Access Flag
Self Reported Data
Panel Status
Available by referral only

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