Provider Demographics
NPI:1124208434
Name:COUNSELING CENTER FOR CHINESE
Entity Type:Organization
Organization Name:COUNSELING CENTER FOR CHINESE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:HONG
Authorized Official - Middle Name:J
Authorized Official - Last Name:YANG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:425-443-2598
Mailing Address - Street 1:1921 147TH PL SE
Mailing Address - Street 2:
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98007-6828
Mailing Address - Country:US
Mailing Address - Phone:425-644-3715
Mailing Address - Fax:
Practice Address - Street 1:1921 147TH PL SE
Practice Address - Street 2:
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98007-6828
Practice Address - Country:US
Practice Address - Phone:425-644-3715
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-05
Last Update Date:2008-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAR00050052OtherSTATE LICENSE