Individual provider · Type 1 NPI
Willem H. Fahrenbruck, LCPC
Professional Counselor · Longview, TX
NPI number
1629045497
Active
Practice location
414 E Loop 281 Ste 3
Longview, TX 75605-7931
Mailing address
1513 Miami Dr
Longview, TX 75601-3553
Other practice locations
- 414 E Loop 281 Ste 3, Longview, TX 75605-7931 · (903) 452-8040
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 83081 (TX) |
Professional Counselor: Definition to come...
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About NPI 1629045497
Willem H. Fahrenbruck, LCPC's National Provider Identifier is 1629045497, issued on Mar 1, 2006. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Longview, TX. The record was last updated on Aug 19, 2025.