| Alyssa Moore Counseling Llc | |
|
3735 Se Clay St Portland OR 97214-5139 | |
| (503) 662-2023 | |
| (503) 713-5486 |
| Full Name | Alyssa Moore Counseling Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 3735 Se Clay St, Portland, Oregon |
| Authorized Official Name and Position | Alyssa A. Moore (OWNER) |
| Authorized Official Contact | 5036622023 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Alyssa Moore Counseling Llc 3735 Se Clay St Portland OR 97214-5139 Ph: (503) 662-2023 | Alyssa Moore Counseling Llc 3735 Se Clay St Portland OR 97214-5139 Ph: (503) 662-2023 |
| NPI Number | 1114671781 |
|---|---|
| Provider Enumeration Date | 02/11/2022 |
| Last Update Date | 02/11/2022 |
| Certification Date | 02/11/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114671781 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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