Find Naturopathic Medicine Doctors near you

Confirm your location to see nearby naturopathic medicine doctors

Zip Code

8 Naturopathic Medicine Doctors near Lafayette, CA

Check out 8 Naturopathic Medicine Doctors near Lafayette

Confirm your location to see quality specialists near you.

Lewes DE US 75-Min BioRemedy Session
Cicely Everson

Cicely Everson

Intuitive Energy Healer Clinical Herbalist & Product Formulator Functional Medicine Practitioner
Offers virtual services

English

Welcome! I am the founder of Tao Holistics, a suite of holistic brands including a holistic medicine virtual clinic, learning Academy, and professional line of botanical medicines. You will only see one service listed here in Sofia. Book here if you are interested in viewing all service offerin…

Intuitive Energy HealerClinical Herbalist & Product FormulatorFunctional Medicine Practitioner Reiki MasterAromatherapistChakra HealerNaturopathic DoctorWellness CoachEnergy HealerAyurvedic PractitionerShamanFunctional Medicine PractitionerFunctional Medicine DoctorHolistic Health CoachAnxiety TherapistHerbalistReikiHealerIntuitive HealerVirtual Energy HealerEssential OilHolistic HealthMental HealthHolistic MedicineGrief CounselingSocial Anxiety TherapyGrief CoachSleep TherapyMental TherapySpiritual CleansingWeight Loss CoachAlternative Health DoctorNatural Medicine DoctorNaturopathic MedicineMental WellnessObesity CareFunctional NutritionistStress CounselingSelf Esteem CoachMindset CoachWomen's HealthAnxiety CoachTrauma ClassIntegrative HealthGoal SettingLiver SupportAutoimmune SpecialistInfertility SpecialistPCOS SpecialistStress CoachGas and Bloating SpecialistChronic Fatigue SpecialistAcne SpecialistMenopause SpecialistFatigue SpecialistInflammation SpecialistPMS SpecialistGut Health SpecialistHormone SpecialistAdrenal Gland SpecialistEnergy CoachBrain Fog SpecialistJoint Pain SpecialistGout SpecialistHolistic DoctorAnemia SpecialistEndometriosis SpecialistDepression TherapistSkin Health SpecialistEstheticianResilience CoachLiver Cleanse SpecialistDigestive Health SpecialistEpigenetic TestInsomniaSleep DoctorIBS SpecialistWeight Loss ProgramRheumatoid Arthritis DoctorHolistic TherapistFibromyalgia SpecialistOsteoporosis SpecialistChronic Pain SpecialistCeliac Disease SpecialistDiabetes SpecialistDigestive IssuesOsteoarthritis SpecialistColitis SpecialistCrohn's SpecialistCholesterol SpecialistBlood Pressure SpecialistAutoimmune Disease DoctorStress Management ClassConstipation DoctorWellness CounselingHeadache SpecialistWeight Management DoctorPain ManagementDepression CounselingAnxiety TreatmentIrregular PeriodsWomen's Health SpecialistGut HealthPlant MedicineHerbal TeaMens HealthMetabolic SpecialistMigraine SpecialistPTSD TreatmentPanic Disorder SpecialistWellness PractitionerHolistic HealerEnergy BalancingHolistic Health PractitionerSelf CareSkin CareFood Sensitivity DoctorImmune SupportHerbal RemediesEmotional Wellness

Holistic Nutritionist/Health Coach
Daja Karumba

Daja Karumba

Offers virtual services

Coming Soon

Health CoachDieticianWellness CoachHolistic Health CoachHolistic NutritionistNutrition ConsultantNutrition CoachNutritional TherapistHealth and Wellness CoachPersonal CoachHolistic HealthHolistic MedicineNutrition CounselingManifestation CoachMental TherapyWeight Loss CoachAlternative Health DoctorNatural Medicine DoctorNaturopathic MedicineMental WellnessMeal PrepObesity CareColon HydrotherapyKeto SpecialistVegan DieticianPediatric NutritionistMindset CoachGoal SettingGas and Bloating SpecialistGut Health SpecialistGout SpecialistDetox SpecialistTeen Nutrition CoachHolistic DoctorAnemia SpecialistFODMAP SpecialistLiver Cleanse SpecialistAthlete Nutrition PlanDigestive Health SpecialistEpigenetic TestIBS SpecialistWeight Loss ProgramNutrition TherapyMindful EatingEating Disorder TreatmentFood Allergy DoctorFood Sensitivity TestingChronic Pain SpecialistGluten FreeCeliac Disease SpecialistMedical Nutrition TherapyDiabetes SpecialistDigestive IssuesColitis SpecialistCrohn's SpecialistCholesterol SpecialistBlood Pressure SpecialistHeart Health SpecialistMeal PlansKeto Diet CoachVegan DietVegetarian DietConstipation DoctorHeadache SpecialistWeight Management DoctorGut HealthOrganic FoodLow Fat DietAlkaline DietAnti Inflammatory DietMetabolic SpecialistFood Sensitivity DoctorBody PositivityRaw Food DietFitness Nutrition Coach

Plainwell Michigan US Better Health in 5 Days - Free Foundations Mini CourseDiscovery Call - Holistic Nutrition & Functional MedicinePowerful 3 MONTH Foundations Program Designed Just for You
Landon Gilfillan

Landon Gilfillan

Board Certified Holistic Nutritionist® | Allied Functional Medicine Practitioner | Health Coach
Offers virtual services

English

I’m an eating disorder survivor and diet addict turned nutrition expert and health coach. I help women heal their body and soul from the inside out so they can live a life of power, presence, and purpose. I work with women virtually through my signature Foundations Program. Inside the Foundati…

Board Certified Holistic Nutritionist® | Allied Functional Medicine Practitioner | Health Coach NutritionistNaturopathic DoctorHealth CoachDieticianWellness CoachFunctional Medicine PractitionerFunctional Medicine DoctorHolistic Health CoachHolistic NutritionistNutrition ConsultantNutrition CoachNutritional TherapistHealth and Wellness CoachHolistic HealthMental HealthNutrition CounselingSleep TherapyMental TherapyWeight Loss CoachAlternative Health DoctorNatural Medicine DoctorNaturopathic MedicineMental WellnessObesity CareColon HydrotherapyVegan DieticianPediatric NutritionistFunctional NutritionistStress CounselingMindset CoachWomen's HealthIntegrative HealthGoal SettingLiver SupportPCOS SpecialistStress CoachGas and Bloating SpecialistAcne SpecialistInflammation SpecialistBrain Fog SpecialistJoint Pain SpecialistHolistic DoctorEpigenetic TestInsomniaIBS SpecialistWeight Loss ProgramMindful EatingEating Disorder TreatmentFood Allergy DoctorFood Sensitivity TestingGluten FreeDiabetes SpecialistDigestive IssuesKeto Diet CoachVegan DietVegetarian DietIntuitive Eating DietitianStress Management ClassConstipation DoctorWellness CounselingHeadache SpecialistWeight Management DoctorDepression CounselingAnxiety TreatmentIrregular PeriodsGut HealthOrganic FoodLow Fat DietAlkaline DietAnti Inflammatory DietMigraine SpecialistFood Sensitivity DoctorGut Health SupplementsRaw Food Diet

Adrenal Fatigue Support & RecoveryComplimentary Intro- ZoomEmotional Eating/Binge Eating RecoveryGut-health SupportPlant-Based Meal Planning
Mckenzie Hathaway

Mckenzie Hathaway

Autoimmune Health Coach/Healer
Offers virtual services

English

If your story is anything like mine, you are on a journey to heal your body. A life free from constant chronic pain and fatigue is what so many are longing for. Maybe you’ve been to countless practitioners and received multiple diagnoses, but you still feel completely hopeless. You are not alone. I…

Autoimmune Health Coach/Healer Naturopathic DoctorHealth CoachWellness CoachHolistic Health CoachHealth and Wellness CoachHealerHolistic HealthMental HealthHolistic MedicineNutrition CounselingSocial Anxiety TherapyGrief CoachManifestation CoachSleep TherapyMental TherapyWeight Loss CoachAlternative Health DoctorNatural Medicine DoctorNaturopathic MedicineMental WellnessObesity CareStress CounselingSelf Esteem CoachMindset CoachWomen's HealthAnxiety CoachTrauma ClassGoal SettingVisualization TechniqueAutoimmune SpecialistStress CoachGas and Bloating SpecialistChronic Fatigue SpecialistSleep CoachFatigue SpecialistGut Health SpecialistAdrenal Gland SpecialistBrain Fog SpecialistJoint Pain SpecialistGout SpecialistDepression TherapistResilience CoachLiver Cleanse SpecialistDigestive Health SpecialistEpigenetic TestInsomniaSleep DoctorIBS SpecialistWeight Loss ProgramFibromyalgia SpecialistDigestive IssuesCholesterol SpecialistBlood Pressure SpecialistAutoimmune Disease DoctorMeal PlansVegan DietVegetarian DietStress Management ClassConstipation DoctorWellness CounselingHeadache SpecialistWeight Management DoctorPain ManagementDepression CounselingAnxiety TreatmentGut HealthMetabolic SpecialistMigraine SpecialistPTSD TreatmentPanic Disorder SpecialistWellness PractitionerSpiritual WellnessSelf CareFood Sensitivity DoctorImmune SupportBody PositivityPersonal Growth WorkshopEmotional Wellness

Charlotte NC US 30 Min Wellness Consult (via Zoom)30 Min Wellness Consult (via phone)Free 10 Min ConsultHelp with Gut Issues (30 Min Phone Consult)Help with Pain Relief! (30 Min Phone Consult)
Michelle Tonkin

Michelle Tonkin

Naturopathic Doctor
Offers virtual services

English

Hi there! My name is Michelle Tonkin. I am a Naturopathic Doctor, Certified Nutritional Consultant, Master Herbalist, Master Iridologist and Master Reflexologist. I am a graduate of Trinity College of Natural Health and Acusage Academy. My journey to pursue these degrees started in 2001, as I desir…

Naturopathic Doctor Naturopathic DoctorWellness CoachHolistic Health CoachHolistic NutritionistNutrition ConsultantNutrition CoachNutritional TherapistPhysicianHealth and Wellness CoachPersonal CoachHerbalistReflexologistHolistic HealthMental HealthReflexologyHolistic MedicineNutrition CounselingSleep TherapyMental TherapyWeight Loss CoachAlternative Health DoctorNatural Medicine DoctorNaturopathic MedicineMental WellnessObesity CareColon HydrotherapyStress CounselingMindset CoachIridologistWomen's HealthAnxiety CoachIntegrative HealthGoal SettingAutoimmune SpecialistStress CoachGas and Bloating SpecialistChronic Fatigue SpecialistSleep CoachAcne SpecialistMenopause SpecialistFatigue SpecialistInflammation SpecialistPMS SpecialistGut Health SpecialistHormone SpecialistAdrenal Gland SpecialistBrain Fog SpecialistADHD SpecialistJoint Pain SpecialistGout SpecialistDetox SpecialistTeen Nutrition CoachHolistic DoctorAnemia SpecialistEndometriosis SpecialistDepression TherapistFODMAP SpecialistLiver Cleanse SpecialistDigestive Health SpecialistEpigenetic TestInsomniaIBS SpecialistWeight Loss ProgramRheumatoid Arthritis DoctorFibromyalgia SpecialistLupus SpecialistOsteoporosis SpecialistNutrition TherapyMindful EatingEating Disorder TreatmentFood Sensitivity TestingChronic Pain SpecialistGluten FreeDiabetes SpecialistDigestive IssuesOsteoarthritis SpecialistCholesterol SpecialistBlood Pressure SpecialistMeal PlansVegan DietVegetarian DietPregnancy NutritionPostpartum NutritionConstipation DoctorWellness CounselingHeadache SpecialistWeight Management DoctorPain ManagementDepression CounselingAnxiety TreatmentGut HealthPantry DetoxPlant MedicineHerbal TeaMens HealthMigraine SpecialistPTSD TreatmentPanic Disorder SpecialistWellness PractitionerSelf CareImmune SupportBody PositivityHerbal RemediesEmotional WellnessGut Health SupplementsRaw Food DietFitness Nutrition Coach

Initial Consult
Paula Dozier

Paula Dozier

Health Coach
Offers virtual services

Coming Soon

Health Coach Naturopathic DoctorHealth CoachWellness CoachHolistic Health CoachHealth and Wellness CoachPersonal CoachHolistic HealthMental HealthSocial Anxiety TherapySleep TherapyMental TherapyWeight Loss CoachNaturopathic MedicineMental WellnessStress CounselingMindset CoachWomen's HealthAnxiety CoachGoal SettingStress CoachGas and Bloating SpecialistChronic Fatigue SpecialistSleep CoachFatigue SpecialistGut Health SpecialistDepression TherapistEpigenetic TestInsomniaSleep DoctorIBS SpecialistWeight Loss ProgramNutrition TherapyMindful EatingEating Disorder TreatmentFood Sensitivity TestingDigestive IssuesWellness CounselingWeight Management DoctorPain ManagementDepression CounselingAnxiety TreatmentGut HealthSelf CareFood Sensitivity DoctorBody Positivity

Odenton MD US 28-Day DetoxFirst Office Visit with Dr. Kneessi: A Pathway to Root-Cause HealingFollow-Up Visit
Ryan Kneessi

Ryan Kneessi

Naturopathic Doctor
Offers virtual services

English

As a dedicated Naturopathic practitioner, I, Dr. Ryan Kneessi, am committed to empowering individuals to achieve optimal health by addressing the root causes of their wellness concerns. With a focus on personalized care, I integrate advanced diagnostics, nutrition, and lifestyle strategies to creat…

Naturopathic Doctor AromatherapistNaturopathic DoctorWellness CoachHolistic Health CoachNutrition ConsultantNutritional TherapistPhysicianHealth and Wellness CoachHolistic HealthMental Health CoachHolistic MedicineNutrition CounselingSleep TherapyMental Health TherapistWeight Loss CoachAlternative Health DoctorNatural Medicine DoctorNaturopathic MedicineMental WellnessObesity CareColon HydrotherapyStress CounselingWomen's HealthAnxiety CoachIntegrative HealthGoal SettingLiver SupportAutoimmune SpecialistPCOS SpecialistStress CoachGas and Bloating SpecialistChronic Fatigue SpecialistSleep CoachAcne SpecialistMenopause SpecialistHashimoto DiseaseThyroid SpecialistLyme Disease SpecialistInflammation SpecialistPMS SpecialistGut Health SpecialistHormone SpecialistAdrenal Gland SpecialistBrain Fog SpecialistADHD SpecialistJoint Pain SpecialistGout SpecialistDetox SpecialistHolistic DoctorAnemia SpecialistEndometriosis SpecialistDepression TherapistSkin Health SpecialistResilience CoachLiver Cleanse SpecialistDigestive Health SpecialistEpigenetic TestInsomniaSleep DoctorMultiple Sclerosis SpecialistIBS SpecialistWeight Loss ProgramRheumatoid Arthritis DoctorFibromyalgia SpecialistLupus SpecialistOsteoporosis SpecialistEating Disorder TreatmentChronic Pain SpecialistCeliac Disease SpecialistDiabetes SpecialistDigestive IssuesOsteoarthritis SpecialistColitis SpecialistCrohn's SpecialistCholesterol SpecialistBlood Pressure SpecialistHeart Health SpecialistRenal SpecialistAutoimmune Disease DoctorStress Management ClassConstipation DoctorWellness CounselingHeadache SpecialistWeight Management DoctorPain ManagementDepression CounselingAnxiety TreatmentIrregular PeriodsGut HealthMens HealthMetabolic SpecialistMigraine SpecialistBack Pain SpecialistShoulder Pain SpecialistHip Pain SpecialistKnee Pain DoctorNerve Pain SpecialistPelvic Pain SpecialistSciatica Pain ReliefNeck Pain TreatmentWhiplash TreatmentHerniated Disc SpecialistArthritis DoctorScoliosis DoctorCarpal Tunnel DoctorPinched Nerve SpecialistTMJ SpecialistVertigo DoctorDementia CarePTSD TreatmentPanic Disorder SpecialistWellness PractitionerHolistic Health PractitionerSelf CareImmune SupportBody PositivityPersonal Growth WorkshopEmotional Wellness

Spring Branch TX US Dying to SelfEmotional MaturityFreedom in SurrenderInitial ConsultMarriage Coaching
Tauna Dillon

Tauna Dillon

Biblical Counsel
Offers virtual services

English

Growth isn’t one-size-fits-all. Our post-intake counseling is structured into modular, 4-week topical tracks. This allows us to take a highly focused, scriptural approach to specific areas of life without the pressure of a long-term, open-ended commitment. You choose the topic, and we map out the 4…

Biblical Counsel Naturopathic DoctorCounselorMarriage CounselorSpiritual Life CoachRelationship CounselorMarriage and Family TherapistSpiritual CounselorChristian Marriage CounselorMental Health CoachCounselingCouples CounselingChristian CounselingChristian Family CounselingChristian Premarital CounselingSleep TherapyMental Health TherapistSpiritual CleansingNaturopathic MedicineMental WellnessAnger Management ClassStress CounselingSelf Esteem CoachGrief Recovery SpecialistSpiritual MentorMindset CoachAnxiety CoachTrauma ClassRelaxation TechniqueGoal SettingVisualization TechniqueStress CoachInsomniaBehavior Modification TherapyStress Management ClassPain ManagementDepression CounselingAnxiety TreatmentBereavement SupportPTSD TreatmentPanic Disorder SpecialistSpiritual WellnessSelf CarePersonal Growth WorkshopEmotional Wellness

Frequently asked questions

 

How can I make a same-day appointment with a Naturopathic Medicine in Lafayette?

Same day appointments are available with many Naturopathic Medicine Doctors. For the most part, clients who use Sofia to search for a Naturopathic Medicine in Lafayette can schedule an appointment and see the Naturopathic Medicine within 24 hours. You can search for real-time availability of Naturopathic Medicine Doctors in Lafayette and make an appointment online today.

 


How can I book an appointment online with a Naturopathic Medicine in Lafayette?

Sofia is a free online service that helps clients find Naturopathic Medicine Doctors in Lafayette and book appointments instantly. You can search for Lafayette Naturopathic Medicine Doctors by symptom, health goal or visit reason. You can explore Naturopathic Medicine services, book a virtual appointment, join group classes or schedule an initial consultation. 

 


How can I find a top-rated Naturopathic Medicine in Lafayette?

You can use Sofia to find Naturopathic Medicine Doctors in Lafayette who are highly rated. View each Naturopathic Medicine Doctors education, license and certification credentials. Watch their video introductions and book a virtual consultation see if they are a good fit for you.  

 


How can I schedule a virtual visit with a Naturopathic Medicine in Lafayette?

Almost all Naturopathic Medicine Doctors in Lafayette on Sofia have virtual visits available. Every Naturopathic Medicine can be scheduled online for either in-person or virtual appointments. When you book your session, choose in person or online.  

 


How can I find a Lafayette Naturopathic Medicine who sees clients after hours?

On Sofia, you can search specifically for Lafayette Naturopathic Medicine Doctors with availability after normal business hours.

 


How can I find same day appointments near me for Naturopathic Medicine Doctors in Lafayette?

Sofia lets you see real-time availability for Naturopathic Medicine Doctors in Lafayette. Many Naturopathic Medicine Doctors offer same day appointments.  

 


How can I find a Naturopathic Medicine in Lafayette who sees clients during the weekend?

Sofia let's you see real-time availability for Naturopathic Medicine Doctors in Lafayette. Many Naturopathic Medicine Doctors offer appointments on Saturdays and Sundays.

 


How can I find group classes near me from Naturopathic Medicine Doctors in Lafayette?

Sofia lets you search for live group classes from the leading Naturopathic Medicine Doctors. You can sign up for individual virtual group classes from Naturopathic Medicine Doctors today or you can purchase a membership to Sofia Prime for access to unlimited monthly classes.

 


How can I search for Naturopathic Medicine products in Lafayette?

Sofia lets you shop for Naturopathic Medicine Doctors products. You can shop health and wellness products from the Sofia Marketplace or go to your favorite Naturopathic Medicine Doctors page directly. 

 


How can I find live classes near me with Naturopathic Medicine Doctors in Lafayette?

Sofia lets you take live classes from leading Naturopathic Medicine Doctors. You can sign up for virtual group classes from Naturopathic Medicine Doctors today.

 


Where can I find a licensed and credentialed Naturopathic Medicine near me in Lafayette?

Sofia lets you search for educated, licensed, and credentialed Naturopathic Medicine Doctors professionals. You can ensure you are booking with the right Naturopathic Medicine for you based on credentials, language, and more.

 


 

Lafayette, CA

 

Lafayette is a city in Contra Costa County, California, United States. As of 2020, the city's population was 25,391. It was named after the Marquis de Lafayette, a French military officer of the American Revolutionary War.

Before the colonization of the region by Spain, Lafayette, and its vicinity were inhabited by the Saclan tribe of the indigenous Bay Miwok. Ohlone also populated some of the areas along Lafayette Creek. The indigenous inhabitants' first contact with Europeans was in the late 18th century, when Catholic missions were founded in the region. These initial contacts developed into conflict, with years of armed struggle, including a battle on what is currently Lafayette soil in 1797 between the Saclan and the Spanish, eventually resulting in the subjugation of the native population.

Most of Lafayette was given as a Mexican land grant, Rancho Acalanes to Candelario Valencia in 1834. The name Acalanes seems to have come from the name of a native village in the area, Ahala-n.

American settlement started with the arrival of Elam Brown from St. Joseph, Missouri, in 1846. He purchased Rancho Acalanes in 1848. The settlement continued to steadily grow due to its proximity to San Francisco; starting with Brown's group of 18 settlers, by the census in 1852, 76 people were listed as living in the area.[11] Brown founded a mill in 1853.

Lafayette is located at 37°53′09″N 122°07′05″W. According to the United States Census Bureau, the city has a total area of 15.4 square miles (40 km2). 15.2 square miles (39 km2) of it is land and 0.2 square miles (0.52 km2) of it (1.08%) is water.

The ciy is part of the greater San Francisco Bay Area and has its own station on the BART public transit system. Lafayette is situated between Walnut Creek, Moraga, and Orinda, and, together with the latter two towns, is considered locally as part of "Lamorinda".

Lafayette emphasizes health and wellness. Explore the parks, facilities, and programs offered by the Lafayette Recreation and Community Services Department. These spaces provide opportunities for outdoor activities such as walking, jogging, sports, and picnicking. Join local fitness centers and gyms to participate in exercise programs, fitness classes, and strength training. Some popular options include Jazzercise, Orangetheory Gym, and Gillham Fitness. Discover the walking and biking trails in and around Lafayette, such as the Lafayette-Moraga Regional Trail and Brook Street Park. These trails offer opportunities for outdoor exercise and enjoyment of nature.

 

The top sites in Lafayette, CA are Lafayette Reservoir, Bedford Gallery, and Briones Regional Park.

 

ZIP Code: 94549. Population: 25,208 (2021). Elevation: 320′. Area code: 925. Area: 15.21 sq mi (39.39 km2).

 

FAQs
 

Is Lafayette, CA a good place to live?

Lafayette is in Contra Costa County and is one of the best places to live in California. Living in Lafayette offers residents a sparse suburban feel and most residents own their homes. In Lafayette, there are a lot of coffee shops and parks. Many retirees live in Lafayette and residents tend to have moderate political views.

 

What is Lafayette, CA known for?

The City was incorporated in 1968, although settlement of the area began in 1848. Lafayette is noted for its high quality of life with top-rated schools, low crime rate, small town downtown, clean air, mild climate, and oak tree-studded hills. Located between Berkeley and Walnut Creek, Lafayette has its own Bay Area Rapid Transit station (BART) and is only a 25-minute BART ride from San Francisco.

 

Is Lafayette, CA expensive?

Lafayette is part of the Oakland-Berkeley-Livermore Metro Div. metro area, which is ranked 12 out of 273 cities across the US in terms of cost of living. According to C2ER (the Council for Community and Economic Research), the cost of living in Lafayette is estimated to be 140% of the national average making it one of the more expensive cities in the US. The total monthly expenditure you can expect to incur depends on the cost of housing, food, utilities, transportation, healthcare, and other miscellaneous goods and services.

 

Sources

Wikipedia

City of Lafayette

Contra Costa County

Lafayette Recreation and Community Services Department

Jazzercise

Orangetheory Gym 

Gillham Fitness

Lafayette-Moraga Regional Trail

Brook Street Park

Lafayette Reservoir

Bedford Gallery

Briones Regional Park

Niche

About Lafayette

Zero Down

 

The content herein is provided for general informational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Medical information changes constantly, and therefore the content on this website should not be assumed to be current, complete, or exhaustive. Always seek the advice of your doctor before starting or changing treatment. If you think you may have a medical emergency, please call your doctor or 9-1-1 (in the United States) immediately.