| 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 |
Sarahlouise Perez, LCSW-S Counselor Medicare: Not Enrolled in Medicare Practice Location: William Beaumont Army Medical Center, 18511 Highlander Medics St, Fort Bliss, TX 79918 Phone: 915-742-1847 | |
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 |