NPI 1013655232

George D Affonso, LADCICADC

Practitioner Addiction (Substance Use Disorder) Counselor Plymouth, MA

Practice location

Address: 60 Cherry St, Plymouth, MA 02360-4466
Phone: (508) 746-6654
Fax: (508) 746-2433
Mailing address: 11a Standish Ave, Plymouth, MA 02360-4145

Registered specialties

Addiction (Substance Use Disorder) Counselor Primary

Behavioral Health & Social Service Providers Taxonomy 101YA0400X Licence 16860 (MA)

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Registry record

NPI: 1013655232
Entity type: Individual
Sex (as registered): Male
NPI issued: 26 May 2022
Record last updated: 1 Jun 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.