Individual provider · Type 1 NPI
Jacalyn Clark, LPC
Mental Health Counselor · Southport, CT
NPI number
1093673121
Active
Practice location
255 Half Mile Rd
Southport, CT 06890-1017
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 9373 (CT) |
Mental Health Counselor: Definition to come...
Other mental health counselor providers in Southport
About NPI 1093673121
Jacalyn Clark, LPC's National Provider Identifier is 1093673121, issued on Jan 15, 2026. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Southport, CT. The record was last updated on Jan 15, 2026.