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Crystal Jan Clark, CPC
Peer Specialist in Lakewood, Washington
NPI 1477037513

Crystal Jan Clark is a Peer Specialist based in University Place, WA. Crystal Jan Clark practices in Lakewood, WA and has the professional credentials of CPC. The NPI Number for Crystal Jan Clark is 1477037513 and holds a License No. (Washington).

The current practice location address for Crystal Jan Clark is 9720 S Tacoma Way, Lakewood, WA and can be reached out via phone at 253-328-5862.

Location: 9720 S Tacoma Way, Lakewood, WA, 98466-3128
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1477037513
Provider Name
Crystal Jan Clark
Credential
CPC
Provider Entity Type
Individual
Gender
Female
Address
9720 S Tacoma Way, Lakewood, WA, 98466-3128
Phone Number
253-328-5862
Fax Number
Provider Enumeration Date
09/24/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
9720 S Tacoma Way
City
Lakewood
State
Washington
Zip
98499-4456
Phone Number
253-328-5862
Fax Number
person
Provider Business Mailing Address Details
Address
9720 S Tacoma Way
City
Lakewood
State
Washington
Zip
98499-4456
Phone Number
253-328-5862
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
(Washington)
Definition
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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