Provider Demographics
NPI:1659407104
Name:COVER-BRIGGS, RACHEL SHENANDOAH (PHD)
Entity Type:Individual
Prefix:DR
First Name:RACHEL
Middle Name:SHENANDOAH
Last Name:COVER-BRIGGS
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:MS
Other - First Name:RACHEL
Other - Middle Name:SHENANDOAH
Other - Last Name:COVER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA
Mailing Address - Street 1:1660 E ROSEVILLE PKWY
Mailing Address - Street 2:
Mailing Address - City:ROSEVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95661-3988
Mailing Address - Country:US
Mailing Address - Phone:916-878-4056
Mailing Address - Fax:916-878-4039
Practice Address - Street 1:1660 E ROSEVILLE PKWY
Practice Address - Street 2:
Practice Address - City:ROSEVILLE
Practice Address - State:CA
Practice Address - Zip Code:95661
Practice Address - Country:US
Practice Address - Phone:916-878-4056
Practice Address - Fax:916-878-4039
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-26
Last Update Date:2022-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101Y00000X, 101YA0400X
CAPSY29976103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)