Individual
ALISTER BLUCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC, LCDC
Contact information
Practice address
15710 BROOKVILLA DR, HOUSTON, TX 77059-5909
(281) 508-0157
Mailing address
15710 BROOKVILLA DR, HOUSTON, TX 77059-5909
(281) 508-0157
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
84436
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7133554734
OTHER
—
Enumeration date
07/29/2022
Last updated
07/29/2022
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