Colette Katuala | San Leandro, CA • PECOS Search

Colette Katuala

Social Worker

Behavioral Health & Social Service Providers

333 Estudillo Ave Ste 211, San Leandro, CA 94577-4717

PECOS Enrollment

Based on the most recent information from CMS, provider Colette Katuala does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 3 days ago.

Profile Details

Provider ID
1093131898
Provider Type
Individual
Full Name
Katuala, Colette
Credential
LCSW

Gender
Female
Sole Proprietor
Yes
Enumeration Date
3/17/2014
Last Updated
1/23/2021

Contact Information

Practice Location

333 Estudillo Ave Ste 211, San Leandro, CA 94577-4717

(510) 291-9600

Mailing Location

451 Elsie Ave, San Leandro, CA 94577

(510) 291-9600

Provider Taxonomies

Code	Description	License
Code 1041C0700X Primary	Description Social Worker Behavioral Health & Social Service Providers	License 29554 California