George D Affonso, LADC I, CADC
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Plymouth, MA
NPI 1013655232 · NPPES record last updated Jun 1, 2022
Key facts
- NPI
- 1013655232
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- License
- 16860 (MA)
- Practice address
- 60 Cherry St
Plymouth, MA 02360-4466 - Phone
- (508) 746-6654
- Fax
- (508) 746-2433
- NPI assigned
- May 26, 2022
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anchor House, Inc. | Addiction (Substance Use Disorder) | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 16860 | MA | Yes |
Addresses
Primary practice location
60 Cherry St
Plymouth, MA 02360-4466
Mailing address
11A Standish Ave
Plymouth, MA 02360-4145
Phone (501) 626-8050
Other providers in Plymouth, MA
- Lynne Marie Adams
- Susan Ann Adams
- Shannon Adragna
- Advocates, Inc
- Affiliated Foot Care, PC
- Melissa Elizabeth Aguiar
- Ahmed M. Abdelal, PHD
- Aira Behavioral Health LLC
- Airport Taxi LLP
- Ross Ajemian
All providers in Plymouth, MA · Addiction (Substance Use Disorder) Counselor in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 1, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.