person
Kimberley Blake, MA,NCC,LPC
Professional Counselor in Bridgeport, Connecticut
NPI 1922771765

Kimberley Blake is a Professional Counselor based in Bridgeport, CT and is specialized in Professional. Kimberley Blake practices in Bridgeport, CT and has the professional credentials of MA,NCC,LPC. The NPI Number for Kimberley Blake is 1922771765 and holds a License No. 004945 (Connecticut).

The current practice location address for Kimberley Blake is 140 John St, Bridgeport, CT and can be reached out via phone at 203-450-9944.

Location: 140 John St, Bridgeport, CT, 06604-4323
person
Provider Profile Details
NPI Number
1922771765
Provider Name
Kimberley Blake
Credential
MA,NCC,LPC
Provider Entity Type
Individual
Gender
Female
Address
140 John St, Bridgeport, CT, 06604-4323
Phone Number
203-450-9944
Fax Number
Provider Enumeration Date
07/28/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
140 John St
City
State
Zip
06604-4323
Phone Number
203-450-9944
Fax Number
person
Provider Business Mailing Address Details
Address
140 John St
City
State
Zip
06604-4323
Phone Number
203-450-9944
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
004945 (Connecticut)
Definition
Definition to come...
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