Healthcare Provider Details

I. General information

NPI: 1528262490
Provider Name (Legal Business Name): ASIAN COUNSELING & REFERRAL SERVICE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/13/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

720 8TH AVE S SUITE 200
SEATTLE WA
98104-3032
US

IV. Provider business mailing address

PO BOX 1275
ALLYN WA
98524-1275
US

V. Phone/Fax

Practice location:
  • Phone: 206-695-7600
  • Fax: 206-695-7606
Mailing address:
  • Phone: 206-354-2763
  • Fax: 206-695-7606

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: DR. JUDY CENTERWALL
Title or Position: MEDICAL COORDINATOR
Credential: M.D.
Phone: 206-695-7600