Basic Information
| Provider Information | |||||||||
| NPI: | 1487181301 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | BROOKS | ||||||||
| FirstName: | RENEE | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | MS. | ||||||||
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| Credential: | M.A., L.M.F.T 112480 | ||||||||
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| Mailing Information | |||||||||
| Address1: | 19634 VENTURA BLVD. #212 | ||||||||
| Address2: | WEST VALLEY COUNSELING CENTER | ||||||||
| City: | TARZANA | ||||||||
| State: | CA | ||||||||
| PostalCode: | 91356 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8187589450 | ||||||||
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| Practice Location | |||||||||
| Address1: | VENTURA COUNTY BEHAVIORAL HEALTH | ||||||||
| Address2: | 1227 E. LOS ANGELES AVE. | ||||||||
| City: | SIMI VALLEY | ||||||||
| State: | CA | ||||||||
| PostalCode: | 93065 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8055824080 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 05/23/2017 | ||||||||
| LastUpdateDate: | 07/03/2019 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 106H00000X | CA | Y | Behavioral Health & Social Service Providers | Marriage & Family Therapist |
No ID Information.