Individual
JACALYN CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
255 HALF MILE RD, SOUTHPORT, CT 06890-1017
(385) 290-5014
Mailing address
255 HALF MILE RD, SOUTHPORT, CT 06890-1017
(385) 290-5014
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
9373
CT
Other
Enumeration date
01/15/2026
Last updated
01/15/2026
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