Sage Antony Benner
NPI #1811502586 in Western Springs, Illinois
Provider Information
- NPI Number
- 1811502586
- Entity Type
- Individual
- Name
- Sage Antony Benner
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Mental Health
- Enumeration Date
- Sep 10, 2020
- Last Updated
- Sep 10, 2020
Practice Location
- Address
- 1023 BURLINGTON AVE
- City
- Western Springs
- State
- Illinois
- ZIP Code
- 60558-1516
- Phone
- (708) 745-5277
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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