Provider Demographics
NPI:1548916174
Name:COCHRAN-DAVIS, ERIN (LPCA, MS, MED)
Entity type:Individual
Prefix:MRS
First Name:ERIN
Middle Name:
Last Name:COCHRAN-DAVIS
Suffix:
Gender:F
Credentials:LPCA, MS, MED
Other - Prefix:
Other - First Name:ERIN
Other - Middle Name:
Other - Last Name:COCHRAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LPCA, MS, MED
Mailing Address - Street 1:2355 STATE ST STE 101
Mailing Address - Street 2:
Mailing Address - City:SALEM
Mailing Address - State:OR
Mailing Address - Zip Code:97301-4541
Mailing Address - Country:US
Mailing Address - Phone:541-632-4101
Mailing Address - Fax:
Practice Address - Street 1:1469 JOHN DAY DR UNIT 104
Practice Address - Street 2:
Practice Address - City:EUGENE
Practice Address - State:OR
Practice Address - Zip Code:97408-6029
Practice Address - Country:US
Practice Address - Phone:541-632-4101
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-02-22
Last Update Date:2025-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORR8569101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty