Individual
MS. ALISA EISENBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MFT
Contact information
Practice address
320 SAN NICHOLAS CT, LAGUNA BEACH, CA 92651-4440
(949) 715-7307
Mailing address
320 SAN NICHOLAS CT, LAGUNA BEACH, CA 92651-4440
(949) 715-7307
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MFC39222
CA
Other
Enumeration date
04/06/2015
Last updated
04/06/2015
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