Provider Demographics
NPI:1487181301
Name:BROOKS, RENEE (MA, LMFT 112480)
Entity type:Individual
Prefix:MS
First Name:RENEE
Middle Name:
Last Name:BROOKS
Suffix:
Gender:F
Credentials:MA, LMFT 112480
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19634 VENTURA BLVD. #212
Mailing Address - Street 2:WEST VALLEY COUNSELING CENTER
Mailing Address - City:TARZANA
Mailing Address - State:CA
Mailing Address - Zip Code:91356
Mailing Address - Country:US
Mailing Address - Phone:818-758-9450
Mailing Address - Fax:
Practice Address - Street 1:VENTURA COUNTY BEHAVIORAL HEALTH
Practice Address - Street 2:1227 E. LOS ANGELES AVE.
Practice Address - City:SIMI VALLEY
Practice Address - State:CA
Practice Address - Zip Code:93065
Practice Address - Country:US
Practice Address - Phone:805-582-4080
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-05-23
Last Update Date:2019-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist