Phillip Vance
Counselor, Mental Health in Eugene, OR. Individual provider (NPI-1).
NPI number1295545002
StatusActive
Last updated in NPPESJul 14, 2025
Details
- NPI
- 1295545002
- Entity type
- Individual (NPI-1)
- Name
- Phillip Vance
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jan 13, 2025
- Certification date
- Jan 13, 2025
- Last updated
- Jul 14, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | professionallicense | – | Yes |
Practice location
2222 Coburg Rd Ste 100Eugene, OR 97401-4988
Phone 458-210-2984 · Fax 458-210-2985
Mailing address
3587 Heathrow WayMedford, OR 97504-4004
Phone 541-858-8170
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