Individual provider · Type 1 NPI

Lara Dyanne Matarrese

Mental Health Counselor · Salem, OR

NPI number 1720959612 Active

Practice location

565 Union St NE Ste 205
Salem, OR 97301-2418

Mailing address

4400 Salem Dallas Hwy NW
Salem, OR 97304-3338

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1720959612

Lara Dyanne Matarrese's National Provider Identifier is 1720959612, issued on Sep 15, 2025. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Salem, OR. The record was last updated on Oct 5, 2026.