Individual
MRS. ALYSSA PATAKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
5441 S MACADAM AVE STE R, PORTLAND, OR 97239-3822
(909) 367-5928
Mailing address
5441 S MACADAM AVE STE R, PORTLAND, OR 97239-3822
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
MFT.LF.61633845
WA
101YM0800X
Mental Health Counselor
Primary
T2680
OR
Other
Enumeration date
08/25/2020
Last updated
12/24/2025
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