Individual
JOHN LILLARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PLPC, LAC
Contact information
Practice address
59 E 11TH AVE STE 200, EUGENE, OR 97401-3656
(541) 900-4285
Mailing address
1765 W 13TH AVE # A, EUGENE, OR 97402-3720
(504) 432-4901
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
6463
LA
101YA0400X
Addiction (Substance Use Disorder) Counselor
1588
LA
101YP2500X
Professional Counselor
Primary
C5124
OR
Other
Enumeration date
03/23/2017
Last updated
12/27/2024
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