Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kaeli Ann Clark, CDP

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1427397124

Kaeli Ann Clark, CDP is an Addiction (Substance Use Disorder) Counselor in Bellevue, Washington. Practices as a sole proprietor. Licensed in Washington.

Licensed in
WA
In the registry since
2013

Practice location Address checks out

2025 112th Ave NE Ste 101
Bellevue, WA 98004-2943
Phone: (425) 462-8558
Fax: (425) 462-8556
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 60295090 (WA)

Record details

NPI number1427397124
Entity typeIndividual (Type 1)
GenderFemale
Credentials CDP
Sole proprietorYes
NPI enumeratedJanuary 31, 2013
Last updated in NPPESJanuary 31, 2013
Mailing address18015 Ne 159th St, Woodinville, WA 98072-6130

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