Willem H. Fahrenbruck, Lpc, Pllc

NPI #1043062730 in Longview, Texas

Provider Information

NPI Number: 1043062730
Entity Type: Organization
Organization Name: Willem H. Fahrenbruck, Lpc, Pllc
Primary Specialty: Counselor - Professional
Enumeration Date: Apr 4, 2024
Last Updated: Apr 4, 2024

Practice Location

Address: 3122 NEALY WAY STE 201
City: Longview
State: Texas
ZIP Code: 75605-1092
Phone: (903) 452-8040

Authorized Official

Name: WILLEM H. FAHRENBRUCK, LPC-S
Title: OWNER
Phone: (605) 440-2145

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Professional — Professional	101YP2500X	Primary

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