Ashley Pruett Kotowski | Oakland, CA • PECOS Search

Ashley Pruett Kotowski

Counselor

Behavioral Health & Social Service Providers

3408 Andover St, Oakland, CA 94609-2817

PECOS Enrollment

Based on the most recent information from CMS, provider Ashley Pruett Kotowski 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
1356233191
Provider Type
Individual
Full Name
Pruett Kotowski, Ashley
Credential
SUDRC

Gender
Female
Sole Proprietor
No
Enumeration Date
7/16/2025
Last Updated
7/16/2025

Contact Information

Practice Location

3408 Andover St, Oakland, CA 94609-2817

Unlisted Fax

Mailing Location

3408 Andover St, Oakland, CA 94609-2817

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 101YA0400X Primary	Description Counselor Behavioral Health & Social Service Providers	License 19883 California