Provider Demographics
NPI:1255210886
Name:AULUCK, ISAIAH (MA)
Entity type:Individual
Prefix:MR
First Name:ISAIAH
Middle Name:
Last Name:AULUCK
Suffix:
Gender:M
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3849 SAN JOSE AVE APT 1
Mailing Address - Street 2:
Mailing Address - City:MERCED
Mailing Address - State:CA
Mailing Address - Zip Code:95348-2259
Mailing Address - Country:US
Mailing Address - Phone:209-777-9755
Mailing Address - Fax:
Practice Address - Street 1:10326 FISKE RD
Practice Address - Street 2:
Practice Address - City:COULTERVILLE
Practice Address - State:CA
Practice Address - Zip Code:95311-9502
Practice Address - Country:US
Practice Address - Phone:209-878-3027
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-28
Last Update Date:2025-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA101YS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YS0200XBehavioral Health & Social Service ProvidersCounselorSchool