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

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