Provider Demographics
NPI:1992508790
Name:FEINMANN, ALISA (CADC-II)
Entity type:Individual
Prefix:
First Name:ALISA
Middle Name:
Last Name:FEINMANN
Suffix:
Gender:
Credentials:CADC-II
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2129 ELDEN AVE APT 8
Mailing Address - Street 2:
Mailing Address - City:COSTA MESA
Mailing Address - State:CA
Mailing Address - Zip Code:92627-1785
Mailing Address - Country:US
Mailing Address - Phone:781-572-2250
Mailing Address - Fax:
Practice Address - Street 1:19126 MAGNOLIA ST STE 101
Practice Address - Street 2:
Practice Address - City:HUNTINGTON BEACH
Practice Address - State:CA
Practice Address - Zip Code:92646-2249
Practice Address - Country:US
Practice Address - Phone:949-749-6197
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-28
Last Update Date:2025-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA054750719101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)