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MR. JUAN MAILLO LMFT #103938
NPI 1306161617
Marriage & Family Therapist in Santa Rosa, CA

Active since March 30, 2010
1275 4TH ST # 5076, SANTA ROSA, CA 95404(415) 275-0307 Get Directions Write a Review

NPPES record last updated: June 12, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 12, 2023, Jun 1, 2020, Sep 6, 2018 (3 updates tracked since 2018).

About Mr. Juan Maillo Lmft #103938 NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. JUAN MAILLO LMFT #103938 (NPI 1306161617) is an individual marriage & family therapist in Santa Rosa, California, licensed in California (103938) and active in the NPI registry since March 2010.

NPPES Registry Identity

NPI1306161617
Entity TypeIndividualMale
Primary Taxonomy106H00000X
Provider Legal NameMR. JUAN MAILLOCredential: LMFT #103938
Location Address1275 4TH ST # 5076Santa Rosa, CA 95404-4057
Mailing Address1275 4th St # 5076Santa Rosa, CA 95404-4057 · (415) 275-0307
Phone(415) 275-0307
Sole ProprietorNo
Enumeration DateMarch 30, 2010
Last NPPES UpdateJune 12, 20233 updates tracked since enumeration
NPPES CertifiedMay 9, 2023
✔ NPI 1306161617 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License✔ Licensed in CA · 103938
Definition
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 mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
Also ListedCounselorTaxonomy 101Y00000X
1275 4TH ST # 5076, Santa Rosa, CA 95404
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Juan Maillo's NPI number?

The NPI number for Juan Maillo is 1306161617. It was assigned to this individual provider in the NPPES registry on March 30, 2010.

Where is Juan Maillo located?

Juan Maillo practices at 1275 4th St # 5076, Santa Rosa, CA 95404. The listed phone number is (415) 275-0307.

What is Juan Maillo's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

When was this NPI record last updated?

The NPPES record for Juan Maillo was last updated on June 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.