Healthcare Provider Details

I. General information

NPI: 1700494366
Provider Name (Legal Business Name): PARIS MARIANA BAIRD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/20/2020
Last Update Date: 06/16/2026
Certification Date: 06/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

425 E SANTA CLARA ST
SAN JOSE CA
95113-1936
US

IV. Provider business mailing address

425 E SANTA CLARA ST
SAN JOSE CA
95113-1936
US

V. Phone/Fax

Practice location:
  • Phone: 408-438-0882
  • Fax: 408-550-7433
Mailing address:
  • Phone: 408-438-0882
  • Fax: 408-550-7433

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number19833
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: