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

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1205193984

Kelsey Nicole Clark, LMFT is an Addiction (Substance Use Disorder) Counselor in Spokane, Washington. Practices as a sole proprietor. Licensed in Washington.

Licensed in
WA
In the registry since
2012
Specialties on file
3
What do these letters mean?
LMFT — Licensed Marriage and Family Therapist
A therapist licensed to treat couples and families.

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Practice location Address checks out

4407 N Division St Ste 205
Spokane, WA 99207-1660
Phone: (509) 566-2061
Fax: (509) 566-2061
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X · Licence LF60878729 (WA)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence CO60243441 (WA)
Marriage & Family Therapist Taxonomy 106H00000X · Licence MG60679997 (WA)

Record details

NPI number1205193984
Entity typeIndividual (Type 1)
GenderFemale
Credentials LMFT
Sole proprietorYes
NPI enumeratedApril 18, 2012
Last updated in NPPESAugust 12, 2021
Certification dateAugust 12, 2021

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