Provider Demographics
NPI:1689710378
Name:HILLS, ADELINA LIN (MA)
Entity Type:Individual
Prefix:MS
First Name:ADELINA
Middle Name:LIN
Last Name:HILLS
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 3628
Mailing Address - Street 2:
Mailing Address - City:SANTA CLARA
Mailing Address - State:CA
Mailing Address - Zip Code:95055-3628
Mailing Address - Country:US
Mailing Address - Phone:408-203-0135
Mailing Address - Fax:973-741-9369
Practice Address - Street 1:1885 THE ALAMEDA
Practice Address - Street 2:SUITE 100 - I
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95126-1744
Practice Address - Country:US
Practice Address - Phone:408-203-0135
Practice Address - Fax:973-741-9369
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-29
Last Update Date:2010-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC44946106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist