person
Kelli Jeanne Roark, LICSW,SUDP
Mental Health Counselor in Arlington, Washington
NPI 1568722445

Kelli Jeanne Roark is a Mental Health Counselor based in Arlington, WA and is specialized in Mental Health. Kelli Jeanne Roark practices in Arlington, WA and has the professional credentials of LICSW,SUDP. The NPI Number for Kelli Jeanne Roark is 1568722445 and holds a License No. CP60817555 (Washington).

The current practice location address for Kelli Jeanne Roark is 4511 188Th St Ne, Arlington, WA and can be reached out via phone at 425-231-7589.

Location: 4511 188Th St Ne, Arlington, WA, 98223-7778
person
Provider Profile Details
NPI Number
1568722445
Provider Name
Kelli Jeanne Roark
Credential
LICSW,SUDP
Provider Entity Type
Individual
Gender
Female
Address
4511 188Th St Ne, Arlington, WA, 98223-7778
Phone Number
425-231-7589
Fax Number
Provider Enumeration Date
05/24/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
LW60828872 01 WA SOCIAL WORKER INDEPENDENT CLINICAL LICENSE
CP60817555 01 WA SUBSTANCE USE DISORDER PROFESSIONAL CERTIFICATION
institution
Provider Business Practice Location Address Details
Address
4511 188Th St Ne
City
State
Zip
98223-7778
Phone Number
425-231-7589
Fax Number
person
Provider Business Mailing Address Details
Address
4511 188Th St Ne
City
State
Zip
98223-7778
Phone Number
425-231-7589
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
LW60828872 (Washington)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
CP60817555 (Washington)
Definition
Definition to come...
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