Individual
ALYSSA EBERHARDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
106 SOUTH MAIN STREET, LAKEPORT, CA 95453
(707) 263-0372
Mailing address
PO BOX 2077, UKIAH, CA 95482-2077
(707) 467-2010
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
09/23/2024
Last updated
06/25/2025
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