Provider Demographics
NPI:1194016931
Name:ZIENTARA, RO (LPC)
Entity type:Individual
Prefix:MS
First Name:RO
Middle Name:
Last Name:ZIENTARA
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2468 W 11TH AVE
Mailing Address - Street 2:
Mailing Address - City:EUGENE
Mailing Address - State:OR
Mailing Address - Zip Code:97402-3314
Mailing Address - Country:US
Mailing Address - Phone:541-484-4234
Mailing Address - Fax:541-484-4583
Practice Address - Street 1:2468 W. 11TH AVE
Practice Address - Street 2:
Practice Address - City:EUGENE
Practice Address - State:OR
Practice Address - Zip Code:97402-9740
Practice Address - Country:US
Practice Address - Phone:541-484-4234
Practice Address - Fax:541-484-4583
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-27
Last Update Date:2022-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORC4367261QM0801X, 101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)