Kelli Jeanne Roark, LICSW, SUDP
NPI #1568722445 in Arlington, Washington
Provider Information
- NPI Number
- 1568722445
- Entity Type
- Individual
- Name
- Kelli Jeanne Roark, LICSW, SUDP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Mental Health
- Credential
- LICSW, SUDP
- Enumeration Date
- May 24, 2012
- Last Updated
- Mar 24, 2020
Practice Location
- Address
- 4511 188TH ST NE
- City
- Arlington
- State
- Washington
- ZIP Code
- 98223-7778
- Phone
- (425) 231-7589
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
| Counselor - Mental Health — Mental Health |
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