# KAITLIN MYSKA LMFT LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083207567
- **Authorized official:** KAITLIN MARIE MYSKA LMFT (OWNER AND LICENSED CLINICIAN)
- **Authorized official phone:** (860) 375-4060

## Contact information

- **Practice address:** 99 STAFFORD RD STE B-1, ELLINGTON, CT 06029-2834
- **Practice address phone:** (860) 375-4060
- **Mailing address:** 12 MEADOW RD, BOLTON, CT 06043-7619
- **Mailing address phone:** (203) 312-3590

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | — | NULL | Yes |
| 106H00000X | Marriage & Family Therapist | — | — | Yes |

## Other

- **Enumeration date:** 02/16/2021
- **Last updated:** 02/16/2021