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

Kelly Marie Clark, AAC

Individual provider Peer Specialist · NPI 1477897916

Kelly Marie Clark, AAC is a Peer Specialist in Everett, Washington. Works from 2 locations. Licensed in Washington.

Licensed in
WA
In the registry since
2012
Specialties on file
2
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Practice location Address checks out

811 Madison St
Everett, WA 98203-4543
Phone: (425) 212-4200
Fax: (425) 212-4201
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1100 S 2nd St, Mount Vernon, WA 98273-4209 — (360) 419-3500

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X · Licence 1477897916 (WA)
Mental Health Counselor Taxonomy 101YM0800X

Record details

NPI number1477897916
Entity typeIndividual (Type 1)
GenderFemale
Credentials AAC
Sole proprietorNo
NPI enumeratedNovember 22, 2012
Last updated in NPPESMarch 17, 2018

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