Individual
MR. ALEC KISSACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
20415 GULF VICTORY WAY, FORT BLISS, TX 79918-8066
(915) 351-2555
(915) 744-4833
Mailing address
20415 GULF VICTORY WAY, FORT BLISS, TX 79918-8066
(915) 217-3314
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
10861
TX
101YP2500X
Professional Counselor
Primary
18915
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
130880107
—
TX
01
—
1639241813
MILITARY
TX
Enumeration date
11/14/2006
Last updated
11/02/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us