Individual
ALYSSA CLOSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
1705 COMMERCIAL ST SE, SALEM, OR 97302-5154
(541) 209-6639
Mailing address
1705 COMMERCIAL ST SE, SALEM, OR 97302-5154
(541) 209-6639
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C5510
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500715162
—
OR
Enumeration date
08/03/2016
Last updated
05/08/2026
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