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

Kelly Park

Individual provider Counselor · NPI 1801548417

Kelly Park is a Counselor in Seattle, Washington. Practices as a sole proprietor. Licensed in Washington.

Licensed in
WA
In the registry since
2022
Specialties on file
2
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Practice location Address checks out

2100 24th Ave S # 205
Seattle, WA 98144-4637
Phone: (206) 382-5340
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence SC61520989 (WA)
Counselor Taxonomy 101Y00000X

Record details

NPI number1801548417
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJanuary 25, 2022
Last updated in NPPESMay 28, 2025
Certification dateMay 28, 2025
Mailing address2100 24th Ave S # 205, Seattle, WA 98144-4637

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