Provider Demographics
NPI:1023377017
Name:MALETIS, JOELLE RABOW (MAED, MA, LMFT)
Entity Type:Individual
Prefix:MS
First Name:JOELLE
Middle Name:RABOW
Last Name:MALETIS
Suffix:
Gender:F
Credentials:MAED, MA, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:292 GIBRALTAR DR
Mailing Address - Street 2:SUITE 100
Mailing Address - City:SUNNYVALE
Mailing Address - State:CA
Mailing Address - Zip Code:94089-1382
Mailing Address - Country:US
Mailing Address - Phone:408-480-4157
Mailing Address - Fax:408-462-9990
Practice Address - Street 1:292 GIBRALTAR DR
Practice Address - Street 2:SUITE 100
Practice Address - City:SUNNYVALE
Practice Address - State:CA
Practice Address - Zip Code:94089-1382
Practice Address - Country:US
Practice Address - Phone:408-375-5803
Practice Address - Fax:408-462-9990
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-10
Last Update Date:2012-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC51094106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist