| Doctor Name: | ROSE AMARA POKRIFCHAK |
| NPI Number: | 1013205020 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MA, LMHC |
| License Number: | LH60424383 |
| Business Practice Address: | 19 E Birch St Suite 101 Walla Walla, WA - 993623205 |
| Business Phone Number: | 5416211271 |
| Business Fax Number: | |
| Mailing Address: | 1226 Melrose St, WALLA WALLA |
| State: | WA |
| Postal Code: | 993621407 |
| Phone Number: | 5416211271 |
| Fax Number: | |
| NPI Enumeration Date: | 07/12/2011 |
| NPI Last Update Date: | 02/14/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | LH60424383 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |