Individual provider · Type 1 NPI

Kaeli Ann Clark, CDP

Addiction (Substance Use Disorder) Counselor · Bellevue, WA

NPI number 1427397124 Active

Practice location

2025 112th Ave NE Ste 101
Bellevue, WA 98004-2943

Call (425) 462-8558 Map

Fax (425) 462-8556

Mailing address

18015 NE 159th St
Woodinville, WA 98072-6130

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X60295090 (WA)

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

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About NPI 1427397124

Kaeli Ann Clark, CDP's National Provider Identifier is 1427397124, issued on Jan 31, 2013. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Bellevue, WA. The record was last updated on Jan 31, 2013.