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Individual

MRS. NIKHILA POKKULURI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
9100 BRIDGEPORT WAY SE, LAKEWOOD, WA 98499
(253) 302-3826
(206) 901-2010
Mailing address
9100 BRIDGEPORT WAY SE, LAKEWOOD, WA 98499
(781) 526-8595
(206) 901-2010

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
104100000X
Social Worker
Primary
1043882434
WA
390200000X
Student in an Organized Health Care Education/Training Program

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1982800
WA
Enumeration date
07/14/2021
Last updated
08/05/2025
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