Organization
MICHELLE BUSSOLOTTI, LMFT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE A BUSSOLOTTI LMFT (OWNER)
(860) 961-4951
Entity
Organization
Contact information
Practice address
481 GOLD STAR HWY, GROTON, CT 06340-6702
(860) 961-4951
(860) 405-0563
Mailing address
2 BRIAR HILL DR, OLD LYME, CT 06371-1847
(860) 961-4951
(860) 405-0563
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
001284
CT
Other
Enumeration date
06/17/2010
Last updated
06/17/2010
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