Provider Demographics
NPI:1275653891
Name:PARAISO, JENIFER HELISE (LMFT)
Entity type:Individual
Prefix:MRS
First Name:JENIFER
Middle Name:HELISE
Last Name:PARAISO
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:135 HAVENWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:BRENTWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:94513-7337
Mailing Address - Country:US
Mailing Address - Phone:650-380-6761
Mailing Address - Fax:650-306-1743
Practice Address - Street 1:135 HAVENWOOD AVE
Practice Address - Street 2:
Practice Address - City:BRENTWOOD
Practice Address - State:CA
Practice Address - Zip Code:94513-7337
Practice Address - Country:US
Practice Address - Phone:650-380-6761
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-29
Last Update Date:2025-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
106H00000X
CA52073106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist