Provider Demographics
NPI:1083433304
Name:COHEN-RENCOUNTRE, ELIZABETH (QMHP)
Entity type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:
Last Name:COHEN-RENCOUNTRE
Suffix:
Gender:F
Credentials:QMHP
Other - Prefix:
Other - First Name:FRANKIE
Other - Middle Name:
Other - Last Name:COHEN-RENCOUNTRE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:425 LINCOLN ST
Mailing Address - Street 2:
Mailing Address - City:EUGENE
Mailing Address - State:OR
Mailing Address - Zip Code:97401-2516
Mailing Address - Country:US
Mailing Address - Phone:541-632-3237
Mailing Address - Fax:
Practice Address - Street 1:425 LINCOLN ST
Practice Address - Street 2:
Practice Address - City:EUGENE
Practice Address - State:OR
Practice Address - Zip Code:97401-2516
Practice Address - Country:US
Practice Address - Phone:541-632-3237
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-10-03
Last Update Date:2024-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker