MEDICARE: MRS. KARRIE JOHNSTON FELDMAN M.S., LMFT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106H00000X	Marriage & Family Therapist	MFC47970	CA

General Provider Information

NPI Number	:	1326177007
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. KARRIE JOHNSTON FELDMAN M.S., LMFT

Provider Business Mailing Address
First Line	:	30025 ALICIA PKWY STE 7009
Second Line	:
City	:	LAGUNA NIGUEL
State	:	CA
Zip	:	92677-2090
Country	:	US
Telephone Number	:	323-999-5011
Fax Number	:

Provider Business Practice Location Address
First Line	:	1950 W CORPORATE WAY STE 20067
Second Line	:
City	:	ANAHEIM
State	:	CA
Zip	:	92801-5373
Country	:	US
Telephone Number	:	323-999-5011
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/05/2007
Last Update Date	:	01/02/2024

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