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Individual
MR. WILLEM H FAHRENBRUCK
Active
Individual
MR. WILLEM H FAHRENBRUCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCPC
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
83081
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000742270
BC BS PROVIDER NUMBER
MT
05
—
0256724
—
MT
Enumeration date
03/01/2006
Last updated
08/19/2025
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