Blucker, Alister
Blucker, Alister is an sole proprietor health care provider with primary practice located at 15710 Brookvilla Dr , Houston TX 77059-5909. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Blucker, Alister can be contacted via phone (281) 508-0157.Contact Information
Primary practice address
15710 Brookvilla Dr
Houston TX 77059-5909
Phone: (281) 508-0157
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | ||
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 84436 |
Profile Details
| NPI number | 1013643253 |
|---|---|
| LBN Legal business name | Blucker, Alister |
| Credentials | LPC, LCDC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 29th, 2022 |
| Last updated | Jul 29th, 2022 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1013643253 | NPPES |
| Other | 7133554734 | OTHER |
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