Mr Alec Kissack, LPC | |
20415 Gulf Victory Way, Fort Bliss, TX 79918-8066 | |
(915) 351-2555 | |
(915) 744-4833 |
Full Name | Mr Alec Kissack |
---|---|
Gender | Male |
Speciality | Counselor - Professional |
Location | 20415 Gulf Victory Way, Fort Bliss, Texas |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1639241813 | NPI | - | NPPES |
1639241813 | Other | TX | MILITARY |
130880107 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 18915 (Texas) | Primary |
101YA0400X | Counselor - Addiction (substance Use Disorder) | 10861 (Texas) | Secondary |
Mailing Address | Practice Location Address |
---|---|
Mr Alec Kissack, LPC 20415 Gulf Victory Way, Fort Bliss, TX 79918-8066 Ph: (915) 217-3314 | Mr Alec Kissack, LPC 20415 Gulf Victory Way, Fort Bliss, TX 79918-8066 Ph: (915) 351-2555 |
Yolanda Ginny Shamy, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 18511 Highlander Medics Street, Wbamc, Fort Bliss, TX 79918 Phone: 915-569-3213 |