Individual provider · Type 1 NPI

Melody Clark, CDPT

Addiction (Substance Use Disorder) Counselor · Lakewood, WA

NPI number 1104301316 Active

Practice location

9500 Front St S Ste 100
Lakewood, WA 98499-9415

Call (253) 584-3996 Map

Fax (253) 589-1071

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XCO60644204 (WA)

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

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About NPI 1104301316

Melody Clark, CDPT's National Provider Identifier is 1104301316, issued on Oct 3, 2018. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Lakewood, WA. The record was last updated on Oct 3, 2018.