Imani Tacuma Wagstaff I
Imani Tacuma Wagstaff I is a Marriage & Family Therapist in Rochester, New York. Works from 2 locations. Registered with an NPI since 2017.
- In the registry since
- 2017
- Specialties on file
- 2
Practice location Address checks out
1 Mustard StRochester, NY 14609-6980
Phone: (585) 256-7500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 1400 Portland Ave Ste 54, Rochester, NY 14621-3014 — (585) 470-9224
Specialties & licences
| Counselor (primary) | Taxonomy 101Y00000X |
|---|---|
| Marriage & Family Therapist | Taxonomy 106H00000X |
Record details
| NPI number | 1578070512 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | December 29, 2017 |
| Last updated in NPPES | January 11, 2021 |
| Certification date | January 7, 2021 |
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