Damali Maia Tillman, BA - Counselor in San Jose, CA

Damali Maia Tillman, BA is a Counselor based in San Jose, California. Damali Maia Tillman is licensed to practice in * (Not Available) (license number ) and her current practice location is 232 E Gish Rd, San Jose, California. She can be reached at her office (for appointments etc.) via phone at (408) 849-9550.

NPI number for Damali Maia Tillman is 1013146810 and her current mailing address is 880 Canfield Ct Apt 4, San Jose, California. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1013146810.

Contact Information

Damali Maia Tillman, BA
232 E Gish Rd,
San Jose, CA 95112-4706
(408) 849-9550
Not Available

Healthcare Provider's Profile

Full NameDamali Maia Tillman
GenderFemale
SpecialityCounselor
Location232 E Gish Rd, San Jose, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1013146810
  • Provider Enumeration Date: 07/14/2009
  • Last Update Date: 07/14/2009

Medical Identifiers

Medical identifiers for Damali Maia Tillman such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1013146810NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101Y00000XCounselor (* (Not Available))Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Damali Maia Tillman is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Damali Maia Tillman, BA
880 Canfield Ct Apt 4,
San Jose, CA 95136-1742

Ph: (408) 300-0950
Damali Maia Tillman, BA
232 E Gish Rd,
San Jose, CA 95112-4706

Ph: (408) 849-9550

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› Verified 2 days ago


Counselor in San Jose, CA

Mr. Charles Alfonzo Castor-thomas Viii,
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Phone: 408-885-3227    Fax: 408-885-2063
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Phone: 408-271-3900    Fax: 408-271-3909
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Practice Location: 1555 Parkmoor Ave, San Jose, CA 95128
Phone: 408-282-0402    Fax: 408-282-0400
Danelle L Gilmore,
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Phone: 408-971-9822    Fax: 408-971-9820
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