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Provider Information - CalViva Health
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Provider Information

Last Updated : Sep 5 2025 2:28 PM

Marianne L Jackson

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City
Fresno
Group
HEALTH NET DIRECT FFS MEDI-CAL
Specialty
Qualified Autism Svc Provider
Last Name
Jackson
First Name
Marianne
Middle Name
L
Address
5048 N Maple Ave
State
CA
Zip Code
93740
Phone
(559)278-6773
Hours
Mon - Fri 8:00 AM - 5:00 PM Sat 9:00 AM - 1:00 PM
Gender
F
Title
PH.D.
Physician ID
906761
Language 1
Spanish
Section Number
A
County
FRESNO
Accepting New Patient
Yes
PPG NAME
HEALTH NET DIRECT FFS MEDI-CAL
PPG ID
MHDML
NPI Number
1841623790
Access Requirement
Limited
PARKING_IND
P
EXT_BUILD_IND
EB
RESTROOM_IND
R
License ID
BCD73824
Email
fbs_admin@mail.fresnostate.edu
Board Certified
No
Self Access Flag
Self Reported Data
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Is any of the information above incorrect? Please use this online form to send us a correction or email directoryrequest@calvivahealth.org. You may also call 1-888-893-1569 TTY 711.