Provider Demographics
NPI:1275653891
Name:PARAISO, JENIFER HELISE (MFTI)
Entity Type:Individual
Prefix:MRS
First Name:JENIFER
Middle Name:HELISE
Last Name:PARAISO
Suffix:
Gender:F
Credentials:MFTI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:199 CHURCHILL AVE
Mailing Address - Street 2:
Mailing Address - City:WOODSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:94062-1151
Mailing Address - Country:US
Mailing Address - Phone:650-364-8186
Mailing Address - Fax:650-306-1743
Practice Address - Street 1:199 CHURCHILL AVE
Practice Address - Street 2:
Practice Address - City:WOODSIDE
Practice Address - State:CA
Practice Address - Zip Code:94062-1151
Practice Address - Country:US
Practice Address - Phone:650-364-8186
Practice Address - Fax:650-306-1743
Is Sole Proprietor?:No
Enumeration Date:2007-03-29
Last Update Date:2012-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist