Individual
TERESA RAE QUACKENBUSH-BENSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
315 COBURG RD STE C, EUGENE, OR 97401-6114
(541) 505-9190
Mailing address
315 COBURG RD STE C, EUGENE, OR 97401-6114
(541) 505-9190
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
05/17/2023
Last updated
11/29/2023
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