Individual provider · Type 1 NPI

Phillip Vance

Mental Health Counselor · Eugene, OR

NPI number 1295545002 Active

Practice location

2222 Coburg Rd Ste 100
Eugene, OR 97401-4988

Fax (458) 210-2985

Mailing address

3587 Heathrow Way
Medford, OR 97504-4004

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XPROFESSIONALLICENSE

Mental Health Counselor: Definition to come...

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About NPI 1295545002

Phillip Vance's National Provider Identifier is 1295545002, issued on Jan 13, 2025. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Eugene, OR. The record was last updated on Jul 14, 2025.