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Individual

DAISY LAROT ALAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
776 S STATE ST STE 103, UKIAH, CA 95482-5833
(707) 510-7764
Mailing address
776 S STATE ST STE 103, UKIAH, CA 95482-5833
(707) 510-7764

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
APCC7744
CA
101YP2500X
Professional Counselor
Primary
22241
CA
103TC0700X
Clinical Psychologist
APCC7744
CA

Other

Enumeration date
10/18/2019
Last updated
03/17/2026
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