Individual provider · Type 1 NPI
George D. Affonso, LADC I, CADC
Addiction (Substance Use Disorder) Counselor · Plymouth, MA
NPI number
1013655232
Active
Practice location
60 Cherry St
Plymouth, MA 02360-4466
Fax (508) 746-2433
Mailing address
11A Standish Ave
Plymouth, MA 02360-4145
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 16860 (MA) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
Another provider at this address
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About NPI 1013655232
George D. Affonso, LADC I, CADC's National Provider Identifier is 1013655232, issued on May 26, 2022. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Plymouth, MA. The record was last updated on Jun 1, 2022.