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Mr. Willem H Fahrenbruck, LCPC
Professional Counselor in Longview, Texas
NPI 1629045497

Willem H Fahrenbruck is a Professional Counselor based in Longview, TX and is specialized in Professional. Willem H Fahrenbruck practices in Longview, TX and has the professional credentials of LCPC. The NPI Number for Willem H Fahrenbruck is 1629045497 and holds a License No. 83081 (Texas).

The current practice location address for Willem H Fahrenbruck is 3122 Nealy Way Ste 219, Longview, TX and can be reached out via phone at 903-452-8040.

Location: 3122 Nealy Way Ste 219, Longview, TX, 75601-3553
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Provider Profile Details
NPI Number
1629045497
Provider Name
Willem H Fahrenbruck
Credential
LCPC
Provider Entity Type
Individual
Gender
Male
Address
3122 Nealy Way Ste 219, Longview, TX, 75601-3553
Phone Number
903-452-8040
Fax Number
Provider Enumeration Date
03/01/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0000742270 01 MT BC BS PROVIDER NUMBER
0256724 05 MT
institution
Provider Business Practice Location Address Details
Address
3122 Nealy Way Ste 219
City
State
Zip
75605-1088
Phone Number
903-452-8040
Fax Number
person
Provider Business Mailing Address Details
Address
3122 Nealy Way Ste 219
City
State
Zip
75605-1088
Phone Number
903-452-8040
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
83081 (Texas)
Definition
Definition to come...
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