Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TRAVON DI ANGELO TILLIS
ActiveTRAVON DI ANGELO TILLIS is a Mental Health Counselor healthcare provider located in SOUTH PASADENA, California. NPI 1740407576 is currently active in the NPPES registry. Verify at CMS.
Mental Health Counselor · SOUTH PASADENA, CA
Registration Details
- NPI Number
- 1740407576
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 20, 2007 (19.136864132705 yrs)
- Last Updated
- Sep 11, 2023
- License
-
ASW104373 (CA)
Practice Information
- Address
-
625 FAIR OAKS AVE300SOUTH PASADENA, CA, 910302630Browse CA providers · Browse ZIP 91030
- Phone
- 6263957100
- Primary Specialty
-
Mental Health Counselor
101YM0800X
- Additional Specialty
- Occupational Therapy Assistant
- Additional Specialty
- Mental Health Counselor
Other Mental Health Counselor Providers in SOUTH PASADENA, CA
| Name | Credential | NPI |
|---|---|---|
| MRS. MARIA EUGENIA LONG | — | 1114057999 |
| JESSICA ANNE CONVER | MFT | 1134250988 |
| MS. ALVIN PARKER | AA | 1861523342 |
| ANA SHEPHARD | — | 1326170051 |
| MRS. PATRICIA COSS-Y-LEON | MS | 1134253503 |
| LILIANA MURILLO | MFT TRAINEE | 1811012701 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.