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Organization
WILLEM H. FAHRENBRUCK, LPC, PLLC
Active
Organization
WILLEM H. FAHRENBRUCK, LPC, PLLC
Active
Other names
Fahrenbruck Counseling
Organization subpart
No
Provider details
NPI number
Authorized official
WILLEM H. FAHRENBRUCK LPC-S (OWNER)
(605) 440-2145
Entity
Organization
Contact information
Practice address
3122 NEALY WAY STE 201, LONGVIEW, TX 75605-1092
(903) 452-8040
Mailing address
1513 MIAMI DR, LONGVIEW, TX 75601-3553
(605) 440-2145
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
04/04/2024
Last updated
04/04/2024
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