Individual provider · Type 1 NPI

Kelly Marie Clark, AAC

Peer Specialist · Everett, WA

NPI number 1477897916 Active

Practice location

811 Madison St
Everett, WA 98203-4543

Call (425) 212-4200 Map

Fax (425) 212-4201

Mailing address

1100 S 2nd St
Mount Vernon, WA 98273-4209

Other practice locations

  • 1100 S 2nd St, Mount Vernon, WA 98273-4209 · (360) 419-3500

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000X1477897916 (WA)
Mental Health Counselor 101YM0800XNone 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 1477897916

Kelly Marie Clark, AAC's National Provider Identifier is 1477897916, issued on Nov 22, 2012. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Everett, WA. The record was last updated on Mar 17, 2018.