Individual provider · Type 1 NPI

Kacia Clark

Peer Specialist · University Place, WA

NPI number 1760922801 Active

Practice location

7610 40th St W Ste 300
University Place, WA 98466-3834

Call (253) 830-6242 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
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 1760922801

Kacia Clark's National Provider Identifier is 1760922801, issued on Mar 7, 2017. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in University Place, WA. The record was last updated on Dec 7, 2018.