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Individual
RENEE BROUSSARD
Active
Individual
RENEE BROUSSARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
106H00000X
Marriage & Family Therapist
Primary
165500
CA
373H00000X
Day Training/Habilitation Specialist
—
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/02/2025
Last updated
09/14/2026
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