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General NPI Number Information
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NPI Number | 1962507442
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Entity Type | Organization
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Legal Business Name | ASIAN COUNSELING AND REFERRAL SERVICE
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Dates
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Enumeration Date | 09/13/2006
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Last Update Date | 06/28/2023
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Provider Practice Location Address
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Address Line | 3639 MARTIN LUTHER KING JR. WAY SOUTH
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City | SEATTLE
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State | WA
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Zip | 98144-6847
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Country | US
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Telephone | 206-695-7600
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Fax |
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Provider Business Mailing Address
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Address Line | 3639 MARTIN LUTHER KING JR. WAY SOUTH
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City | SEATTLE
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State | WA
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Zip | 98144-6847
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Country | US
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Telephone | 206-695-7600
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | HO YONG BYUN
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Credential |
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Telephone | 206-695-7515
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 17100100
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 031
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License Number State | WA
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 031
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License Number State | WA
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Taxonomy #4
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 031
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License Number State | WA
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Taxonomy #5
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number | 019
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License Number State | WA
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Taxonomy #6
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number | 019
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License Number State | WA
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Taxonomy #7
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Taxonomy Code | 261QR0405X
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Taxonomy Name | Substance Use Disorder Rehabilitation Clinic/Center
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 031
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License Number State | WA
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Taxonomy #9
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number | 019
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License Number State | WA
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