Provider Demographics
NPI:1689838369
Name:ACTION ASSOCIATION COUNSELING SERVICES
Entity Type:Organization
Organization Name:ACTION ASSOCIATION COUNSELING SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ALLEN
Authorized Official - Middle Name:EUGENE
Authorized Official - Last Name:CEBRUN
Authorized Official - Suffix:
Authorized Official - Credentials:BA, CDP
Authorized Official - Phone:253-572-8170
Mailing Address - Street 1:923 MARTIN LUTHER KING JR WAY
Mailing Address - Street 2:
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98405-4149
Mailing Address - Country:US
Mailing Address - Phone:253-572-8170
Mailing Address - Fax:253-572-8262
Practice Address - Street 1:923 MARTIN LUTHER KING JR WAY
Practice Address - Street 2:
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98405-4149
Practice Address - Country:US
Practice Address - Phone:253-572-8170
Practice Address - Fax:253-572-8262
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-11
Last Update Date:2008-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA27042000252Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency