Individual
TRACY WELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
505 BREVARD AVE STE 106, COCOA, FL 32922-7973
(321) 632-5792
(321) 632-5796
Mailing address
3472 SIDERWHEEL DR, ROCKLEDGE, FL 32955-6031
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MT5108
FL
Other
Enumeration date
02/10/2025
Last updated
02/10/2025
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