Individual provider · Type 1 NPI

Tracey LM Patacca

Addiction (Substance Use Disorder) Counselor · Parma, OH

NPI number 1275256455 Active

Practice location

6900 Ridge Rd Ste 202
Parma, OH 44129-5650

Fax (440) 887-1103

Other practice locations

  • 14707 S Cheshire St, Burton, OH 44021-9601 · (440) 887-1100

Specialties and licenses

TaxonomyCodeLicense
Case Manager/Care Coordinator 171M00000XNone listed
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XCDCA.181643 (OH)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1275256455

Tracey LM Patacca's National Provider Identifier is 1275256455, issued on Sep 22, 2022. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Parma, OH. The record was last updated on Feb 2, 2026.