Provider Demographics
NPI:1427839281
Name:FINNEY, EMMA KATHLEEN (MA, APCC)
Entity type:Individual
Prefix:
First Name:EMMA
Middle Name:KATHLEEN
Last Name:FINNEY
Suffix:
Gender:F
Credentials:MA, APCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2300 FAIRVIEW RD APT T101
Mailing Address - Street 2:
Mailing Address - City:COSTA MESA
Mailing Address - State:CA
Mailing Address - Zip Code:92626-6424
Mailing Address - Country:US
Mailing Address - Phone:818-877-8421
Mailing Address - Fax:
Practice Address - Street 1:335 REDONDO AVE
Practice Address - Street 2:
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90814-2652
Practice Address - Country:US
Practice Address - Phone:949-763-3910
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-10-09
Last Update Date:2023-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA14807101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional