Provider Demographics
NPI:1144688078
Name:DROUIN, JUDITH MAY (MS MFT, LPCC)
Entity type:Individual
Prefix:
First Name:JUDITH
Middle Name:MAY
Last Name:DROUIN
Suffix:
Gender:F
Credentials:MS MFT, LPCC
Other - Prefix:
Other - First Name:JUDITH
Other - Middle Name:MAY
Other - Last Name:THOMAS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS MFT, LPCC
Mailing Address - Street 1:95 N BROOKSHIRE AVE
Mailing Address - Street 2:
Mailing Address - City:VENTURA
Mailing Address - State:CA
Mailing Address - Zip Code:93003-2401
Mailing Address - Country:US
Mailing Address - Phone:805-644-4138
Mailing Address - Fax:
Practice Address - Street 1:95 N BROOKSHIRE AVE
Practice Address - Street 2:
Practice Address - City:VENTURA
Practice Address - State:CA
Practice Address - Zip Code:93003-2401
Practice Address - Country:US
Practice Address - Phone:805-644-4138
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-02-06
Last Update Date:2016-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALPCC1565101YP2500X
CAMFT43352106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional