Individual
BRIDGET BLAKE CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
121 ANN ST, FAIRFIELD, CT 06824-5801
(203) 919-8677
Mailing address
121 ANN ST, FAIRFIELD, CT 06824-5801
(203) 919-8677
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
005693
CT
Other
Enumeration date
08/29/2022
Last updated
02/13/2026
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