Provider Demographics
NPI:1477206803
Name:MARANO-BROWN, GAYLE ANN (LMFT)
Entity Type:Individual
Prefix:MRS
First Name:GAYLE
Middle Name:ANN
Last Name:MARANO-BROWN
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:704 FLAMING STAR AVE
Mailing Address - Street 2:
Mailing Address - City:THOUSAND OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:91360-1525
Mailing Address - Country:US
Mailing Address - Phone:805-279-5766
Mailing Address - Fax:
Practice Address - Street 1:704 FLAMING STAR AVE
Practice Address - Street 2:
Practice Address - City:THOUSAND OAKS
Practice Address - State:CA
Practice Address - Zip Code:91360-1525
Practice Address - Country:US
Practice Address - Phone:805-279-5766
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-01-26
Last Update Date:2022-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA32441106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist