Individual provider · Type 1 NPI

Bridget Blake Clark, LPC

Mental Health Counselor · Fairfield, CT

NPI number 1245950633 Active

Practice location

121 Ann St
Fairfield, CT 06824-5801

Call (203) 919-8677 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X005693 (CT)

Mental Health Counselor: Definition to come...

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About NPI 1245950633

Bridget Blake Clark, LPC's National Provider Identifier is 1245950633, issued on Aug 29, 2022. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Fairfield, CT. The record was last updated on Feb 13, 2026.