Individual
JULIE ANNE CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CDP
Contact information
Practice address
6808 220TH ST SW, SUITE 204, MOUNTLAKE TERRACE, WA 98043-2187
(425) 478-1000
(425) 670-6578
Mailing address
6808 220TH ST SW, SUITE 204, MOUNTLAKE TERRACE, WA 98043-2187
(425) 478-1000
(425) 670-6578
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP00000788
WA
Other
Enumeration date
08/27/2009
Last updated
08/27/2009
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