# MICHELLE BUSSOLOTTI, LMFT

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

## Provider details

- **NPI number:** 1730400318
- **Authorized official:** MICHELLE A BUSSOLOTTI LMFT (OWNER)
- **Authorized official phone:** (860) 961-4951

## Contact information

- **Practice address:** 481 GOLD STAR HWY, GROTON, CT 06340-6702
- **Practice address phone:** (860) 961-4951
- **Practice address fax:** (860) 405-0563
- **Mailing address:** 2 BRIAR HILL DR, OLD LYME, CT 06371-1847
- **Mailing address phone:** (860) 961-4951
- **Mailing address fax:** (860) 405-0563

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | 001284 | CT | Yes |

## Other

- **Enumeration date:** 06/17/2010
- **Last updated:** 06/17/2010