Healthcare Provider Details

I. General information

NPI: 1164335014
Provider Name (Legal Business Name): KATHERINE SAINT JOHN LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/23/2026
Last Update Date: 09/23/2026
Certification Date: 09/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

710 N CAMPBELL ST
EL PASO TX
79902-5202
US

IV. Provider business mailing address

710 N CAMPBELL ST
EL PASO TX
79902-5202
US

V. Phone/Fax

Practice location:
  • Phone: 915-999-9540
  • Fax:
Mailing address:
  • Phone: 915-999-9540
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number97266
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number97266
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: