Healthcare Provider Details

I. General information

NPI: 1629998075
Provider Name (Legal Business Name): MARIA ESTEFANIA MILLAN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/16/2026
Last Update Date: 07/16/2026
Certification Date: 07/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

851 FREMONT AVE
LOS ALTOS CA
94024-5698
US

IV. Provider business mailing address

1566 CANNA CT
MOUNTAIN VIEW CA
94043-4531
US

V. Phone/Fax

Practice location:
  • Phone: 650-941-1698
  • Fax: 650-434-3953
Mailing address:
  • Phone: 650-265-8371
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number152000
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: