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Jason J Clark, CPC
Peer Specialist in Federal Way, Washington
NPI 1518685965

Jason J Clark is a Peer Specialist based in Lacey, WA. Jason J Clark practices in Federal Way, WA and has the professional credentials of CPC. The NPI Number for Jason J Clark is 1518685965 and holds a License No. (Washington).

The current practice location address for Jason J Clark is 500 S 336Th St Ste 102, Federal Way, WA and can be reached out via phone at 206-261-2410.

Location: 500 S 336Th St Ste 102, Federal Way, WA, 98516-1333
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1518685965
Provider Name
Jason J Clark
Credential
CPC
Provider Entity Type
Individual
Gender
Male
Address
500 S 336Th St Ste 102, Federal Way, WA, 98516-1333
Phone Number
206-261-2410
Fax Number
Provider Enumeration Date
08/19/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
500 S 336Th St Ste 102
City
Federal Way
State
Washington
Zip
98003-6389
Phone Number
206-261-2410
Fax Number
person
Provider Business Mailing Address Details
Address
500 S 336Th St Ste 102
City
Federal Way
State
Washington
Zip
98003-6389
Phone Number
206-261-2410
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
()
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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