Healthcare Provider Details

I. General information

NPI: 1932424116
Provider Name (Legal Business Name): ASIAN AMERICAN CHRISTIAN COUNSELING SERVICE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/31/2010
Last Update Date: 03/31/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2550 W MAIN ST STE 202
ALHAMBRA CA
91801-7003
US

IV. Provider business mailing address

2550 W MAIN ST STE 202
ALHAMBRA CA
91801-7003
US

V. Phone/Fax

Practice location:
  • Phone: 626-457-2900
  • Fax: 626-457-2904
Mailing address:
  • Phone: 626-457-2900
  • Fax: 626-457-2904

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251V00000X
TaxonomyVoluntary or Charitable Agency
License Number
License Number State

VIII. Authorized Official

Name: MRS. ELEANOR L. HUANG
Title or Position: EXECUTIVE DIRECTOR CONSULTANT
Credential: LCSW
Phone: 310-918-6488