Provider Demographics
NPI:1326177007
Name:JOHNSTON FELDMAN, KARRIE (MS, LMFT)
Entity Type:Individual
Prefix:MRS
First Name:KARRIE
Middle Name:
Last Name:JOHNSTON FELDMAN
Suffix:
Gender:F
Credentials:MS, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30025 ALICIA PKWY STE 7009
Mailing Address - Street 2:
Mailing Address - City:LAGUNA NIGUEL
Mailing Address - State:CA
Mailing Address - Zip Code:92677-2090
Mailing Address - Country:US
Mailing Address - Phone:323-999-5011
Mailing Address - Fax:
Practice Address - Street 1:1950 W CORPORATE WAY STE 20067
Practice Address - Street 2:
Practice Address - City:ANAHEIM
Practice Address - State:CA
Practice Address - Zip Code:92801-5373
Practice Address - Country:US
Practice Address - Phone:323-999-5011
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-05
Last Update Date:2024-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC47970106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist