# AFFIRMATION COUNSELING CENTER INC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1437104387
- **Authorized official:** MR. MAREK K. KUKULKA (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (860) 889-8346

## Contact information

- **Practice address:** 553 PORTLAND COBALT RD, PORTLAND, CT 06480-1968
- **Practice address phone:** (860) 342-0760
- **Practice address fax:** (860) 342-4226
- **Mailing address:** 553 PORTLAND COBALT RD, PORTLAND, CT 06480-1968
- **Mailing address phone:** (860) 342-0760
- **Mailing address fax:** (860) 342-4226

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | NULL | — |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | — | — |
| 101YP2500X | Professional Counselor | — | NULL | — |
| 101YP2500X | Professional Counselor | — | — | — |
| 1041C0700X | Clinical Social Worker | — | NULL | — |
| 1041C0700X | Clinical Social Worker | — | — | — |
| 106H00000X | Marriage & Family Therapist | — | NULL | Yes |
| 106H00000X | Marriage & Family Therapist | — | — | Yes |
| 2084P0800X | Psychiatry Physician | — | NULL | — |
| 2084P0800X | Psychiatry Physician | — | — | — |

## Other

- **Enumeration date:** 05/22/2006
- **Last updated:** 09/11/2025