person
Mr. Alec Kissack, LPC
Addiction (Substance Use Disorder) Counselor in Fort Bliss, Texas
NPI 1639241813

Alec Kissack is an Addiction (Substance Use Disorder) Counselor based in Fort Bliss, TX and is specialized in Addiction (Substance Use Disorder). Alec Kissack practices in Fort Bliss, TX and has the professional credentials of LPC. The NPI Number for Alec Kissack is 1639241813 and holds a License No. 18915 (Texas).

The current practice location address for Alec Kissack is 20415 Gulf Victory Way, Fort Bliss, TX and can be reached out via phone at 915-351-2555 and via fax at 915-744-4833.

Location: 20415 Gulf Victory Way, Fort Bliss, TX, 79918-8066
person
Provider Profile Details
NPI Number
1639241813
Provider Name
Alec Kissack
Credential
LPC
Provider Entity Type
Individual
Gender
Male
Address
20415 Gulf Victory Way, Fort Bliss, TX, 79918-8066
Phone Number
915-351-2555
Fax Number
915-744-4833
Provider Enumeration Date
11/14/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1639241813 01 TX MILITARY
130880107 05 TX
institution
Provider Business Practice Location Address Details
Address
20415 Gulf Victory Way
City
State
Zip
79918-8066
Phone Number
915-351-2555
Fax Number
915-744-4833
person
Provider Business Mailing Address Details
Address
20415 Gulf Victory Way
City
State
Zip
79918-8066
Phone Number
915-351-2555
Fax Number
915-744-4833
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
10861 (Texas)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
18915 (Texas)
Definition
Definition to come...
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