Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Traci Fuglestad

Individual provider Mental Health Counselor · NPI 1265346696

Traci Fuglestad is a Mental Health Counselor in Macclenny, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2026
Specialties on file
2

Practice location Address checks out

84 W Lowder St
Macclenny, FL 32063-2638
Phone: (352) 374-5600
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence SW26623 (FL)
Clinical Social Worker Taxonomy 1041C0700X · Licence SW26623 (FL)

Record details

NPI number1265346696
Entity typeIndividual (Type 1)
GenderNot disclosed
Sole proprietorYes
NPI enumeratedOctober 1, 2026
Last updated in NPPESOctober 1, 2026
Certification dateOctober 1, 2026

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