Wellformed AI

NPI 1437104387 · live from the CMS NPI Registry

Affirmation Counseling Center INC

Marriage & Family Therapist in Portland, CT. National Provider Identifier 1437104387, active.

NPI record

NPI1437104387 Type 2 · organization
StatusActive
Primary specialtyMarriage & Family Therapist 106H00000X
Practice location553 Portland Cobalt Rd, Portland, CT 06480
Practice phone860-342-0760
EnumeratedMay 22, 2006
Last updatedSeptember 11, 2025
Authorized officialMarek Kukulka, Executive Director

Taxonomies and licenses

TaxonomyCodeLicense
Social Worker, Clinical1041C0700X—
Counselor, Professional101YP2500X—
Counselor, Addiction (Substance Use Disorder)101YA0400X—
Psychiatry & Neurology, Psychiatry2084P0800X—
Marriage & Family Therapist primary106H00000X—

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.