Individual provider · Type 1 NPI

Mauricio Antonio Menjivar

Counselor · San Rafael, CA

NPI number 1922989623 Active

Practice location

611 Las Colindas Rd
San Rafael, CA 94903-2412

Call (628) 224-2060 Map

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000X22006 (CA)

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1922989623

Mauricio Antonio Menjivar's National Provider Identifier is 1922989623, issued on Sep 9, 2025. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in San Rafael, CA. The record was last updated on Sep 9, 2025.