Benjamin Kenneth Gage
Counselor in Vancouver, WA. Individual provider (NPI-1).
NPI number1245952001
StatusActive
Last updated in NPPESSep 16, 2022
Details
- NPI
- 1245952001
- Entity type
- Individual (NPI-1)
- Name
- Benjamin Kenneth Gage
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Sep 16, 2022
- Certification date
- Sep 16, 2022
- Last updated
- Sep 16, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101Y00000X | Counselor | CG61357226 | WA | Yes |
Practice location
2502 E Fourth Plain BlvdVancouver, WA 98661-3965
Phone 360-831-0904
Mailing address
Po Box 34703Seattle, WA 98124-1703
Phone 253-681-6603
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