Individual provider · Type 1 NPI

Traci Fuglestad

Mental Health Counselor · Macclenny, FL

NPI number 1265346696 Active

Practice location

84 W Lowder St
Macclenny, FL 32063-2638

Mailing address

4300 SW 13th St
Gainesville, FL 32608-4006

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700XSW26623 (FL)
Mental Health Counselor Primary 101YM0800XSW26623 (FL)

Mental Health Counselor: Definition to come...

22 other providers at this address

Other mental health counselor providers in Macclenny

See all in Macclenny →

About NPI 1265346696

Traci Fuglestad's National Provider Identifier is 1265346696, issued on Oct 1, 2026. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Macclenny, FL. The record was last updated on Oct 1, 2026.