Active NPIIndividual providerSole proprietor

George D Affonso, LADC I, CADC

Counselor, Addiction (Substance Use Disorder) in Plymouth, Massachusetts

NPI Number1013655232
Practice location
60 Cherry St, Plymouth, MA 02360-4466
Fax
508-746-2433
Last updated
June 1, 2022

George D Affonso is a Counselor, Addiction (Substance Use Disorder) based in Plymouth, MA. George D Affonso practices in Plymouth, MA and has the professional credentials of LADC I, CADC. The NPI Number for George D Affonso is 1013655232 and holds a License No. 16860 (MA). The current practice location address for George D Affonso is 60 Cherry St, Plymouth, MA 02360-4466 and can be reached out via phone at 508-746-6654 and via fax at 508-746-2433.

Provider Profile Details

NPI Number
1013655232
Provider Name
George D Affonso
Credential
LADC I, CADC
Provider Entity Type
Individual
Gender
Male
Address
60 Cherry St, Plymouth, MA 02360-4466
Phone Number
508-746-6654
Fax Number
508-746-2433
Primary Taxonomy
Counselor, Addiction (Substance Use Disorder) · 101YA0400X
Sole Proprietor
Yes
Provider Enumeration Date
May 26, 2022
Last Update Date
June 1, 2022
Certification Date
June 1, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
60 Cherry St
Plymouth, MA 02360-4466
Zip
02360-4466
Phone Number
508-746-6654
Fax Number
508-746-2433
Plymouth, MA 02360Get directions →

Provider Business Mailing Address Details

Address
11A Standish Ave
Plymouth, MA 02360-4145
City
Plymouth
State
MA
Zip
02360-4145
Phone Number
501-626-8050

License Information

License Number
16860
License State
MA
Taxonomy
Counselor, Addiction (Substance Use Disorder) · 101YA0400X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of George D Affonso, LADC I, CADC?

The NPI number of George D Affonso, LADC I, CADC is 1013655232. It was assigned on May 26, 2022 and is currently active in the NPPES registry.

What is the specialty of George D Affonso, LADC I, CADC?

George D Affonso, LADC I, CADC is registered under the primary taxonomy Counselor, Addiction (Substance Use Disorder) (code 101YA0400X), licensed in MA under license number 16860.

Where does George D Affonso, LADC I, CADC practice?

The practice location is 60 Cherry St, Plymouth, MA 02360-4466. The office can be reached at 508-746-6654 (phone) or 508-746-2433 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1013655232 directly on the NPPES registry website.

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