| Willem H. Fahrenbruck, Lpc, Pllc | |
|
3122 Nealy Way Ste 201 Longview TX 75605-1092 | |
| (903) 452-8040 | |
| Not Available |
| Full Name | Willem H. Fahrenbruck, Lpc, Pllc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 3122 Nealy Way Ste 201, Longview, Texas |
| Authorized Official Name and Position | Willem H. Fahrenbruck (OWNER) |
| Authorized Official Contact | 6054402145 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Willem H. Fahrenbruck, Lpc, Pllc 1513 Miami Dr Longview TX 75601-3553 Ph: (605) 440-2145 | Willem H. Fahrenbruck, Lpc, Pllc 3122 Nealy Way Ste 201 Longview TX 75605-1092 Ph: (903) 452-8040 |
| NPI Number | 1043062730 |
|---|---|
| Provider Enumeration Date | 04/04/2024 |
| Last Update Date | 04/04/2024 |
| Certification Date | 04/04/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043062730 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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