Provider Demographics
NPI:1316529563
Name:VILLIERME, CLAUDIA (MED, MFT)
Entity type:Individual
Prefix:
First Name:CLAUDIA
Middle Name:
Last Name:VILLIERME
Suffix:
Gender:F
Credentials:MED, MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:310 MALLORY WAY
Mailing Address - Street 2:
Mailing Address - City:OJAI
Mailing Address - State:CA
Mailing Address - Zip Code:93023-2545
Mailing Address - Country:US
Mailing Address - Phone:520-245-7554
Mailing Address - Fax:
Practice Address - Street 1:310 MALLORY WAY
Practice Address - Street 2:
Practice Address - City:OJAI
Practice Address - State:CA
Practice Address - Zip Code:93023-2545
Practice Address - Country:US
Practice Address - Phone:520-245-7554
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-04-27
Last Update Date:2023-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA113041106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist