Individual provider · Type 1 NPI

Tracie L. Kellogg, CDCA

Addiction (Substance Use Disorder) Counselor · Coal Grove, OH

NPI number 1831708189 Active

Practice location

323 Marion Pike Ste 1
Coal Grove, OH 45638-2958

Other practice locations

  • 1141 County Road 24, Ironton, OH 45638-3186 · (740) 237-4981
  • 35 Private Drive 1122 Ste A, Ironton, OH 45638-9153 · (740) 237-4981

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XCDCA.178035 (OH)
Mental Health Counselor 101YM0800XNone listed
Case Management Agency 251B00000XNone listed

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

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About NPI 1831708189

Tracie L. Kellogg, CDCA's National Provider Identifier is 1831708189, issued on Jul 23, 2020. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Coal Grove, OH. The record was last updated on Oct 5, 2026.