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NPI Code Detail

MEDICARE: ASIAN COUNSELING AND REFERRAL SERVICE

MEDICARE: ASIAN COUNSELING AND REFERRAL SERVICE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YA0400XAddiction (Substance Use Disorder) Counselor17100100WA
2101YM0800XMental Health Counselor031WA
31041C0700XClinical Social Worker031WA
4106H00000XMarriage & Family Therapist031WA
5261QM0850XAdult Mental Health Clinic/Center019WA
6261QM0855XAdolescent and Children Mental Health Clinic/Center019WA
7261QR0405XSubstance Use Disorder Rehabilitation Clinic/Center
8363LP0808XPsychiatric/Mental Health Nurse Practitioner031WA
9261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)019WA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1962507442
Entity Type Code : Organization
Provider Name (Legal Business Name) : ASIAN COUNSELING AND REFERRAL SERVICE
Provider Business Mailing Address
First Line : 3639 MARTIN LUTHER KING JR. WAY SOUTH
Second Line :
City : SEATTLE
State : WA
Zip : 98144-6847
Country : US
Telephone Number : 206-695-7600
Fax Number :
Provider Business Practice Location Address
First Line : 3639 MARTIN LUTHER KING JR. WAY SOUTH
Second Line :
City : SEATTLE
State : WA
Zip : 98144-6847
Country : US
Telephone Number : 206-695-7600
Fax Number :
Authorized Official
Title or Position : EXECUTIVE DIRECTOR
Name : HO YONG BYUN
Credential :
Telephone Number : 206-695-7515
Provider Enumeration Date : 09/13/2006
Last Update Date : 06/28/2023

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Practice Fax: 206-695-7606
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Practice Location Address:
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1225215882 — MS. MYLAM T. THAI
Practice Location Address:
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Directions to “ASIAN COUNSELING AND REFERRAL SERVICE ” Practice Location

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