# ALYSSA MOORE COUNSELING LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Springboard Counseling PDX
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114671781
- **Authorized official:** ALYSSA A. MOORE LPC (OWNER)
- **Authorized official phone:** (503) 662-2023

## Contact information

- **Practice address:** 3735 SE CLAY ST, PORTLAND, OR 97214-5139
- **Practice address phone:** (503) 662-2023
- **Practice address fax:** (503) 713-5486
- **Mailing address:** 3735 SE CLAY ST, PORTLAND, OR 97214-5139
- **Mailing address phone:** (503) 662-2023
- **Mailing address fax:** (503) 713-5486

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |

## Other

- **Enumeration date:** 02/11/2022
- **Last updated:** 02/11/2022