Individual provider · Type 1 NPI

Crystal Jan Clark, CPC

Peer Specialist · Tukwila, WA

NPI number 1477037513 Active

Practice location

6400 Southcenter Blvd
Tukwila, WA 98188-2547

Call (206) 901-2000 Map

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000XNone listed

Peer Specialist: Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

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About NPI 1477037513

Crystal Jan Clark, CPC's National Provider Identifier is 1477037513, issued on Sep 24, 2018. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Tukwila, WA. The record was last updated on Sep 22, 2025.