Individual
AERIN ALEX OMALLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
169 MASON ST, UKIAH, CA 95482-4482
(707) 463-3300
Mailing address
169 MASON ST, UKIAH, CA 95482-4482
(707) 463-3300
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LMFT114059
CA
106H00000X
Marriage & Family Therapist
Primary
LMFT114059
CA
106H00000X
Marriage & Family Therapist
MF8607
ME
Other
Enumeration date
08/13/2015
Last updated
04/28/2026
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