Provider Demographics
NPI:1528262490
Name:ASIAN COUNSELING & REFERRAL SERVICE
Entity type:Organization
Organization Name:ASIAN COUNSELING & REFERRAL SERVICE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL COORDINATOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JUDY
Authorized Official - Middle Name:
Authorized Official - Last Name:CENTERWALL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:206-695-7600
Mailing Address - Street 1:PO BOX 1275
Mailing Address - Street 2:
Mailing Address - City:ALLYN
Mailing Address - State:WA
Mailing Address - Zip Code:98524-1275
Mailing Address - Country:US
Mailing Address - Phone:206-354-2763
Mailing Address - Fax:206-695-7606
Practice Address - Street 1:720 8TH AVE S
Practice Address - Street 2:SUITE 200
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98104-3032
Practice Address - Country:US
Practice Address - Phone:206-695-7600
Practice Address - Fax:206-695-7606
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-13
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health