Individual provider · Type 1 NPI
Tammy Wagstaff, LPC, NCC
Professional Counselor · Grosse Pointe Park, MI
NPI number
1366627291
Active
Practice location
735 Barrington Rd
Grosse Pointe Park, MI 48230-1724
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 6401007402 (MI) |
Professional Counselor: Definition to come...
Another provider at this address
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About NPI 1366627291
Tammy Wagstaff, LPC, NCC's National Provider Identifier is 1366627291, issued on Jan 9, 2008. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Grosse Pointe Park, MI. The record was last updated on Mar 8, 2023.