Individual
ALISA MARIE ACOSTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1207 E FRUIT ST, SANTA ANA, CA 92701-4206
(714) 953-9373
Mailing address
333 E 9TH ST APT 405, SANTA ANA, CA 92701-3761
(714) 804-2073
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
106H00000X
Marriage & Family Therapist
—
—
Other
Enumeration date
09/08/2022
Last updated
09/08/2022
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