Individual provider · Type 1 NPI

Trace Elling-Cockerell

Addiction (Substance Use Disorder) Counselor · Youngstown, OH

NPI number 1699669887 Active

Practice location

1319 Florencedale Ave
Youngstown, OH 44505-2712

Call (330) 743-4673 Map

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist 175T00000XAPS.006475 (OH)
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XCDCAPRE.196429 (OH)

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

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About NPI 1699669887

Trace Elling-Cockerell's National Provider Identifier is 1699669887, issued on Jun 4, 2025. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Youngstown, OH. The record was last updated on Jun 24, 2026.