Search › California › 106H00000X
Juan Maillo, LMFT #103938
NPI 1306161617 · on the registry since 2010
Practice
- Address
- 1275 4th St # 5076
Santa Rosa, CA 95404 - Phone
- (415) 275-0307
Registry record
- Primary taxonomy
- 106H00000X
106H00000X
- Also registered as
- 101Y00000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-06-12
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California