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

MS. Melody Clark, CDPT

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1104301316

MS. Melody Clark, CDPT is an Addiction (Substance Use Disorder) Counselor in Lakewood, Washington. Practices as a sole proprietor. Licensed in Washington.

Licensed in
WA
In the registry since
2018

Practice location Address checks out

9500 Frnt ST S Ste 100
Lakewood, WA 98499-9415
Phone: (253) 584-3996
Fax: (253) 589-1071
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence CO60644204 (WA)

Record details

NPI number1104301316
Entity typeIndividual (Type 1)
GenderFemale
Credentials CDPT
Sole proprietorYes
NPI enumeratedOctober 3, 2018
Last updated in NPPESOctober 3, 2018
Mailing address9500 Front St S Ste 100, Tacoma, WA 98499-9415

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