Organization · Type 2 NPI

Willem H. Fahrenbruck, Lpc, PLLC

Professional Counselor · Longview, TX

NPI number 1043062730 Active

Practice location

3122 Nealy Way Ste 201
Longview, TX 75605-1092

Call (903) 452-8040 Map

Mailing address

1513 Miami Dr
Longview, TX 75601-3553

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XNone listed

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About NPI 1043062730

Willem H. Fahrenbruck, Lpc, PLLC's National Provider Identifier is 1043062730, issued on Apr 4, 2024. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Longview, TX. The record was last updated on Apr 4, 2024.