JUAN MAILLO

SANTA ROSA, CA
NPI1306161617
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy106H00000X Marriage & Family Therapist
(Licence: CA  103938)
Additional Taxonomies101Y00000X Counselor
Enumeration Date2010-03-30
Last Update Date2023-06-12
Business Address
Mr. JUAN MAILLO LMFT #103938
1275 4TH ST # 5076
SANTA ROSA, CA 95404-4057
Phone number: 415-275-0307
Mailing Address
Mr. JUAN MAILLO LMFT #103938
1275 4TH ST # 5076
SANTA ROSA, CA 95404-4057
Phone number: 415-275-0307
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