Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Juan Maillo, LMFT103938

Individual provider Counselor · NPI 1306161617

Mr. Juan Maillo, LMFT103938 is a Counselor in Santa Rosa, California. Licensed in California. Registered with an NPI since 2010.

Licensed in
CA
In the registry since
2010
Specialties on file
2

Practice location Address checks out

1275 4th St # 5076
Santa Rosa, CA 95404-4057
Phone: (415) 275-0307
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X · Licence 103938 (CA)
Counselor Taxonomy 101Y00000X

Record details

NPI number1306161617
Entity typeIndividual (Type 1)
GenderMale
Credentials LMFT103938
Sole proprietorNo
NPI enumeratedMarch 30, 2010
Last updated in NPPESJune 12, 2023
Certification dateMay 9, 2023

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