Individual provider · Type 1 NPI

Renee Broussard

Marriage & Family Therapist · Oakland, CA

NPI number 1275417339 Active

Practice location

8945 Golf Links Rd
Oakland, CA 94605-4124

Other practice locations

  • 232 E Gish Rd, San Jose, CA 95112-4706 · (408) 876-4284

Specialties and licenses

TaxonomyCodeLicense
Day Training/Habilitation Specialist 373H00000XNone listed
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Mental Health Counselor 101YM0800XNone listed
Marriage & Family Therapist Primary 106H00000X165500 (CA)

Marriage & Family Therapist: A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats ment…

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About NPI 1275417339

Renee Broussard's National Provider Identifier is 1275417339, issued on Aug 2, 2025. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in Oakland, CA. The record was last updated on Sep 14, 2026.