Individual provider · Type 1 NPI

Elizabeth Ann Clark, CDPT

Addiction (Substance Use Disorder) Counselor · Lakewood, WA

NPI number 1871065169 Active

Practice location

8811 S Tacoma Way Ste 106
Lakewood, WA 98499-4595

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X60635560 (WA)

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

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About NPI 1871065169

Elizabeth Ann Clark, CDPT's National Provider Identifier is 1871065169, issued on Dec 26, 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 Dec 26, 2018.