Provider Demographics
NPI:1669204517
Name:COLATO, JAZLYN (MSW)
Entity type:Individual
Prefix:
First Name:JAZLYN
Middle Name:
Last Name:COLATO
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12607 OSBORNE ST
Mailing Address - Street 2:
Mailing Address - City:PACOIMA
Mailing Address - State:CA
Mailing Address - Zip Code:91331-2129
Mailing Address - Country:US
Mailing Address - Phone:818-891-9399
Mailing Address - Fax:
Practice Address - Street 1:12607 OSBORNE ST
Practice Address - Street 2:
Practice Address - City:PACOIMA
Practice Address - State:CA
Practice Address - Zip Code:91331-2129
Practice Address - Country:US
Practice Address - Phone:818-891-9399
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-19
Last Update Date:2024-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker