Individual
ALYSSA ROSE NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC, SUDP
Contact information
Practice address
5322 235TH AVE SE, ISSAQUAH, WA 98029
(425) 218-2064
(425) 453-5191
Mailing address
5322 235TH AVE SE, ISSAQUAH, WA 98029
(425) 218-2064
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
CP61361950
WA
101YM0800X
Mental Health Counselor
Primary
LH60943639
WA
Other
Enumeration date
11/07/2019
Last updated
01/23/2025
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