Individual
TRACEY THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
6001 BRICK CT, STE 109, WINTER PARK, FL 32792-9425
(407) 748-4869
(407) 429-3923
Mailing address
PO BOX 621715, ORLANDO, FL 32862-1715
(407) 748-4869
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103TC1900X
Counseling Psychologist
Primary
—
—
Other
Enumeration date
08/25/2008
Last updated
01/15/2025
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