Provider Demographics
NPI:1083596696
Name:POKUL, INNA
Entity type:Individual
Prefix:
First Name:INNA
Middle Name:
Last Name:POKUL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:207 MERIDIAN AVE E APT C202
Mailing Address - Street 2:
Mailing Address - City:EDGEWOOD
Mailing Address - State:WA
Mailing Address - Zip Code:98371-1051
Mailing Address - Country:US
Mailing Address - Phone:737-900-3315
Mailing Address - Fax:
Practice Address - Street 1:4800 S 188TH ST STE 240
Practice Address - Street 2:
Practice Address - City:SEATAC
Practice Address - State:WA
Practice Address - Zip Code:98188-4680
Practice Address - Country:US
Practice Address - Phone:206-593-9889
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-24
Last Update Date:2025-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACAAR.CG.70022326101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health