Crystal Jan Clark, CPC
Peer Specialist in Tukwila, WA. Individual provider (NPI-1).
NPI number1477037513
StatusActive
Last updated in NPPESSep 22, 2025
Details
- NPI
- 1477037513
- Entity type
- Individual (NPI-1)
- Name
- Crystal Jan Clark
- Credential
- CPC
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Sep 24, 2018
- Certification date
- Sep 22, 2025
- Last updated
- Sep 22, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 175T00000X | Peer Specialist | – | WA | Yes |
Practice location
6400 Southcenter BlvdTukwila, WA 98188-2547
Phone 206-901-2000
Mailing address
6400 Southcenter BlvdTukwila, WA 98188-2547
Phone 253-298-8759
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All 50 Peer Specialist providers in Tukwila · All 1,891 providers in Tukwila
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