Individual provider · Type 1 NPI

Damali Maia Tillman, BA

Counselor · San Jose, CA

NPI number 1013146810 Active

Practice location

232 E Gish Rd
San Jose, CA 95112-4706

Call (408) 849-9550 Map

Mailing address

880 Canfield Ct Apt 4
San Jose, CA 95136-1742

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1013146810

Damali Maia Tillman, BA's National Provider Identifier is 1013146810, issued on Jul 14, 2009. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in San Jose, CA. The record was last updated on Jul 14, 2009.