Kelly Marie Clark , AAC
Peer Specialist • Everett, WA
Professional Overview & Biography Verified Profile Summary
Kelly Clark, AAC is a registered healthcare professional specializing in Peer Specialist in Everett, WA. Practice services are available at 811 MADISON ST under active NPI credentials.
Practice Location & Contact Primary Location
811 Madison St
Everett, WA 982034543
Specialty Benchmarks & Practice Insights
Comparative analytics for Peer Specialist in Everett, WA
Practicing in Everett, WA (2660 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 175T00000X
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.
NUCC Taxonomy Code: 101YM0800X
Definition to come...
Secondary Practice Locations
1100 S 2nd St
Mount Vernon, WA 982734209
Phone: 3604193500
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Nurse Practitioner - Psychiatric/Mental Health
Advanced Registered Nurse Practitioner
Counselor
Registered Nurse
Counselor
Counselor - Addiction (Substance Use Disorder)
Counselor - Mental Health
Counselor
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
NPI status registered as active in NPPES database
Registered at 1100 S 2ND ST, MOUNT VERNON, WA 982734209 (Tel: 3604193500)
Registered at 811 MADISON ST, EVERETT, WA 982034543 (Tel: 4252124200)
Recorded as KELLY CLARK, AAC
Counselor
NPI status registered as active in NPPES database
Registered at 811 MADISON ST, EVERETT, WA 982034543 (Tel: 4252124200)
Registered at PO BOX 2569, EVERETT, WA 982130569 (Tel: 4252124200)
Recorded as KELLY VARDIMAN, AAC
Counselor
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
1100 S 2nd St
Mount Vernon, WA 982734209
Phone: 3604193500
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