Provider Demographics
NPI:1659002541
Name:DROUBAY, SARAH REBECCA (LMFT)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:REBECCA
Last Name:DROUBAY
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:263 S 200 W
Mailing Address - Street 2:
Mailing Address - City:TOOELE
Mailing Address - State:UT
Mailing Address - Zip Code:84074-2640
Mailing Address - Country:US
Mailing Address - Phone:435-840-5923
Mailing Address - Fax:
Practice Address - Street 1:1887 AARON DR STE D
Practice Address - Street 2:
Practice Address - City:TOOELE
Practice Address - State:UT
Practice Address - Zip Code:84074-8138
Practice Address - Country:US
Practice Address - Phone:435-244-7151
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-06-21
Last Update Date:2022-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT5135827-3902106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist