person
Kaeli Ann Clark, CDP
Addiction (Substance Use Disorder) Counselor in Bellevue, Washington
NPI 1427397124

Kaeli Ann Clark is an Addiction (Substance Use Disorder) Counselor based in Woodinville, WA and is specialized in Addiction (Substance Use Disorder). Kaeli Ann Clark practices in Bellevue, WA and has the professional credentials of CDP. The NPI Number for Kaeli Ann Clark is 1427397124 and holds a License No. 60295090 (Washington).

The current practice location address for Kaeli Ann Clark is 2025 112Th Ave Ne Ste 101, Bellevue, WA and can be reached out via phone at 425-462-8558 and via fax at 425-462-8556.

Location: 2025 112Th Ave Ne Ste 101, Bellevue, WA, 98072-6130
person
Provider Profile Details
NPI Number
1427397124
Provider Name
Kaeli Ann Clark
Credential
CDP
Provider Entity Type
Individual
Gender
Female
Address
2025 112Th Ave Ne Ste 101, Bellevue, WA, 98072-6130
Phone Number
425-462-8558
Fax Number
425-462-8556
Provider Enumeration Date
01/31/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2025 112Th Ave Ne Ste 101
City
State
Zip
98004-2943
Phone Number
425-462-8558
Fax Number
425-462-8556
person
Provider Business Mailing Address Details
Address
2025 112Th Ave Ne Ste 101
City
State
Zip
98004-2943
Phone Number
425-462-8558
Fax Number
425-462-8556
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
60295090 (Washington)
Definition
Definition to come...
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