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

Mauricio Antonio Menjivar

Individual provider Counselor · NPI 1922989623

Mauricio Antonio Menjivar is a Counselor in San Rafael, California. Licensed in California. Registered with an NPI since 2025.

Licensed in
CA
In the registry since
2025

Practice location Address checks out

611 Las Colindas Rd
San Rafael, CA 94903-2412
Phone: (628) 224-2060
Show map & directions

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

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X · Licence 22006 (CA)

Record details

NPI number1922989623
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 9, 2025
Last updated in NPPESSeptember 9, 2025
Certification dateSeptember 9, 2025

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