Provider Demographics
NPI:1831468206
Name:HOWELL, COLIA MARIE
Entity Type:Individual
Prefix:MS
First Name:COLIA
Middle Name:MARIE
Last Name:HOWELL
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:COLIA
Other - Middle Name:MARIE
Other - Last Name:MAYO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:729 N CALIFORNIA ST
Mailing Address - Street 2:
Mailing Address - City:STOCKTON
Mailing Address - State:CA
Mailing Address - Zip Code:95202-1817
Mailing Address - Country:US
Mailing Address - Phone:209-929-6700
Mailing Address - Fax:209-929-6704
Practice Address - Street 1:729 N CALIFORNIA ST
Practice Address - Street 2:
Practice Address - City:STOCKTON
Practice Address - State:CA
Practice Address - Zip Code:95202-1817
Practice Address - Country:US
Practice Address - Phone:209-929-6700
Practice Address - Fax:209-929-6704
Is Sole Proprietor?:No
Enumeration Date:2011-12-14
Last Update Date:2011-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator