Individual
ROBERT WADE BENGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CDP
Contact information
Practice address
20 GUNNYON ROAD, TOPPENISH, WA 98948
(509) 865-5121
(509) 865-4333
Mailing address
PO BOX 367, TOPPENISH, WA 98948-0367
(509) 865-5121
(509) 865-4333
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CO60274830
WA
Other
Enumeration date
02/22/2019
Last updated
02/22/2019
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