Provider Demographics
NPI:1376321141
Name:BORROWS, RENEE ALICE (MA, AMFT)
Entity Type:Individual
Prefix:
First Name:RENEE
Middle Name:ALICE
Last Name:BORROWS
Suffix:
Gender:F
Credentials:MA, AMFT
Other - Prefix:
Other - First Name:RENEE
Other - Middle Name:
Other - Last Name:BORROWS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:25932 BAY AVE
Mailing Address - Street 2:
Mailing Address - City:MORENO VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:92553-4878
Mailing Address - Country:US
Mailing Address - Phone:951-722-1770
Mailing Address - Fax:
Practice Address - Street 1:6475 E PACIFIC COAST HWY
Practice Address - Street 2:
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90803-4201
Practice Address - Country:US
Practice Address - Phone:562-576-3408
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-21
Last Update Date:2023-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA139860106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist