Provider Demographics
NPI:1487065223
Name:POMMERT, JULENE
Entity type:Individual
Prefix:DR
First Name:JULENE
Middle Name:
Last Name:POMMERT
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 1:12360 LAKE CITY WAY NE
Mailing Address - Street 2:SUITE 420
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98125
Mailing Address - Country:US
Mailing Address - Phone:206-432-2371
Mailing Address - Fax:
Practice Address - Street 1:12360 LAKE CITY WAY NE
Practice Address - Street 2:SUITE 420
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98125
Practice Address - Country:US
Practice Address - Phone:206-432-2371
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-05-14
Last Update Date:2016-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor