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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JACALYN CLARK, LPC

Active Sole Proprietor

JACALYN CLARK, LPC is a Mental Health Counselor healthcare provider located in SOUTHPORT, Connecticut. NPI 1093673121 is currently active in the NPPES registry. Verify at CMS.

Mental Health Counselor · SOUTHPORT, CT

Registration Details

NPI Number
1093673121
Provider Type
Individual
Gender
Female
NPI Issued
Jan 15, 2026 (0.53707305903605 yrs)
Last Updated
Jan 15, 2026
License
9373 (CT)
Sole Proprietor
Yes

Practice Information

Address
255 HALF MILE RD
SOUTHPORT, CT, 068901017
Browse CT providers · Browse ZIP 06890
Phone
3852905014
Primary Specialty
Mental Health Counselor
101YM0800X

Other Mental Health Counselor Providers in SOUTHPORT, CT

Name Credential NPI
JILLIAN LAUR FERENCE LPC, NCC 1326692989
LORRAINE GARLAND LPCA 1376184713
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.