Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Glenn Wanden Brooks Jr.

Individual provider Marriage & Family Therapist · NPI 1154024834

Glenn Wanden Brooks Jr. is a Marriage & Family Therapist in San Jacinto, California. Licensed in California. Registered with an NPI since 2023.

Licensed in
CA
In the registry since
2023
Specialties on file
2

Practice location Address checks out

790 S State St
San Jacinto, CA 92583-4926
Phone: (951) 623-6728
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X · Licence 136527 (CA)
Marriage & Family Therapist Taxonomy 106H00000X

Record details

NPI number1154024834
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 23, 2023
Last updated in NPPESMarch 7, 2024
Certification dateMarch 7, 2024

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