Provider Demographics
NPI:1720968712
Name:SAUCER-DECKER, KRISTINE LOUISE (LPC-S)
Entity type:Individual
Prefix:
First Name:KRISTINE
Middle Name:LOUISE
Last Name:SAUCER-DECKER
Suffix:
Gender:F
Credentials:LPC-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4129 HARMONY LN
Mailing Address - Street 2:
Mailing Address - City:SAN ANGELO
Mailing Address - State:TX
Mailing Address - Zip Code:76904-0713
Mailing Address - Country:US
Mailing Address - Phone:325-450-6393
Mailing Address - Fax:
Practice Address - Street 1:4129 HARMONY LN
Practice Address - Street 2:
Practice Address - City:SAN ANGELO
Practice Address - State:TX
Practice Address - Zip Code:76904-0713
Practice Address - Country:US
Practice Address - Phone:325-450-6393
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-03
Last Update Date:2025-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX69861101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional