Individual
ALYSSA BRIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, CN
Contact information
Practice address
12636 SE STARK ST BLDG J, PORTLAND, OR 97233-1058
(503) 253-4600
Mailing address
12636 SE STARK ST BLDG J, PORTLAND, OR 97233-1058
(503) 253-4600
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
C7809
OR
133N00000X
Nutritionist
NU60324012
WA
Other
Enumeration date
07/26/2011
Last updated
12/07/2023
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