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Travon Di Angelo Tillis
Mental Health Counselor in South Pasadena, California
NPI 1740407576

Travon Di Angelo Tillis is a Mental Health Counselor based in Los Angeles, CA and is specialized in Mental Health. Travon Di Angelo Tillis practices in South Pasadena, CA. The NPI Number for Travon Di Angelo Tillis is 1740407576 and holds a License No. (California).

The current practice location address for Travon Di Angelo Tillis is 625 Fair Oaks Ave, South Pasadena, CA and can be reached out via phone at 626-395-7100.

Location: 625 Fair Oaks Ave, South Pasadena, CA, 90017-1466
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1740407576
Provider Name
Travon Di Angelo Tillis
Credential
Provider Entity Type
Individual
Gender
Male
Address
625 Fair Oaks Ave, South Pasadena, CA, 90017-1466
Phone Number
626-395-7100
Fax Number
Provider Enumeration Date
04/20/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
625 Fair Oaks Ave
City
South Pasadena
State
California
Zip
91030-2630
Phone Number
626-395-7100
Fax Number
person
Provider Business Mailing Address Details
Address
625 Fair Oaks Ave
City
South Pasadena
State
California
Zip
91030-2630
Phone Number
626-395-7100
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
ASW104373 (California)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Social Worker
Speciality
Clinical
Taxonomy
1041C0700X
License No.
()
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
person
Provider's Taxonomy Details 3
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Rehabilitation Practitioner
Speciality
-
Taxonomy
225400000X
License No.
()
Definition
A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.
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