Provider Demographics
NPI:1104796713
Name:PAOLINI, HEATHER CHRISTENSON
Entity type:Individual
Prefix:
First Name:HEATHER
Middle Name:CHRISTENSON
Last Name:PAOLINI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1199 DE ANZA PL
Mailing Address - Street 2:
Mailing Address - City:GILROY
Mailing Address - State:CA
Mailing Address - Zip Code:95020-7106
Mailing Address - Country:US
Mailing Address - Phone:408-595-8792
Mailing Address - Fax:
Practice Address - Street 1:80 W CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:MORGAN HILL
Practice Address - State:CA
Practice Address - Zip Code:95037-4302
Practice Address - Country:US
Practice Address - Phone:408-201-6160
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-11-08
Last Update Date:2025-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA128787101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health