Basic Information
Provider Information
NPI: 1225203722
EntityType: 2
ReplacementNPI:  
OrganizationName: ASIAN COUNSELING AND REFERRAL SERVICE
LastName:  
FirstName:  
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName:  
OtherOrganizationType:  
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Mailing Information
Address1: 720 8TH AVE S
Address2: SUITE 200
City: SEATTLE
State: WA
PostalCode: 981043032
CountryCode: US
TelephoneNumber: 2066957600
FaxNumber:  
Practice Location
Address1: 720 8TH AVE S
Address2: SUITE 200
City: SEATTLE
State: WA
PostalCode: 981043032
CountryCode: US
TelephoneNumber: 2066957600
FaxNumber:  
Other Information
ProviderEnumerationDate: 04/25/2008
LastUpdateDate: 04/25/2008
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode:  
AuthorizedOfficialLastName: NARASAKI
AuthorizedOfficialFirstName: DIANE
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition: EXECUTIVE DIRECTOR
AuthorizedOfficialTelephone: 2066957518
IsSoleProprietor:  
IsOrganizationSubpart: N
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential: MA
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
251S00000X  Y AgenciesCommunity/Behavioral Health 

No ID Information.


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