National Provider Identifier
Gage Stephen Benham I, BA
Gage Stephen Benham I, BA is listed in the NPPES registry with a primary specialty of Mental Health Counselor in Rochester, NY and a listed phone number of (585) 368-6900.
Source: public NPPES record, last updated April 14, 2022. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.
Profile Overview
- NPI
- 1114660537
- Provider Type
- Individual
- Primary Specialty
- Mental Health Counselor
- Enumeration Date
- April 14, 2022
- Last Updated
- April 14, 2022
Practice Location
- 81 Lake Ave
- Rochester, NY 14608-1410
Phone: (585) 368-6900
Specialties
- Mental Health Counselor (101YM0800X)
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Full Record
- NPI
- 1114660537
- Entity Type
- Individual
- Last Name
- Benham
- First Name
- Gage
- Middle Name
- Stephen
- Name Suffix
- I
- Credential
- BA
- Mailing Street Address
- 81 Lake Ave
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14608-1410
- Mailing Country
- US
- Mailing Phone
- (585) 368-6900
- Practice Street Address
- 81 Lake Ave
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14608-1410
- Practice Country
- US
- Practice Phone
- (585) 368-6900
- Enumeration Date
- April 14, 2022
- Last Updated
- April 14, 2022
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- April 14, 2022
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Mental Health Counselor (101YM0800X)