Individual provider · Type 1 NPI

Kimberley Blake, MA, NCC, LPC

Professional Counselor · Bridgeport, CT

NPI number 1922771765 Active

Practice location

140 John St
Bridgeport, CT 06604-4323

Call (203) 450-9944 Map

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X004945 (CT)

Professional Counselor: Definition to come...

2 other providers at this address

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About NPI 1922771765

Kimberley Blake, MA, NCC, LPC's National Provider Identifier is 1922771765, issued on Jul 28, 2021. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Bridgeport, CT. The record was last updated on Jul 28, 2021.