Individual provider · Type 1 NPI

Juan Maillo, LMFT #103938

Marriage & Family Therapist · Santa Rosa, CA

NPI number 1306161617 Active

Practice location

1275 4th St # 5076
Santa Rosa, CA 95404-4057

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000XNone listed
Marriage & Family Therapist Primary 106H00000X103938 (CA)

Marriage & Family Therapist: A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats ment…

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About NPI 1306161617

Juan Maillo, LMFT #103938's National Provider Identifier is 1306161617, issued on Mar 30, 2010. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in Santa Rosa, CA. The record was last updated on Jun 12, 2023.