Organization
AFFIRMATION COUNSELING CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MAREK K. KUKULKA (EXECUTIVE DIRECTOR)
(860) 889-8346
Entity
Organization
Contact information
Practice address
553 PORTLAND COBALT RD, PORTLAND, CT 06480-1968
(860) 342-0760
(860) 342-4226
Mailing address
553 PORTLAND COBALT RD, PORTLAND, CT 06480-1968
(860) 342-0760
(860) 342-4226
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YP2500X
Professional Counselor
—
—
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
Primary
—
—
2084P0800X
Psychiatry Physician
—
—
Other
Enumeration date
05/22/2006
Last updated
09/11/2025
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