Provider Demographics
NPI:1194862292
Name:PAUGH, JONATHON KENNETH (MA, LPC, LMFT, TEP)
Entity Type:Individual
Prefix:
First Name:JONATHON
Middle Name:KENNETH
Last Name:PAUGH
Suffix:
Gender:M
Credentials:MA, LPC, LMFT, TEP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1600 LAKE FRONT CIR
Mailing Address - Street 2:SUITE 150
Mailing Address - City:THE WOODLANDS
Mailing Address - State:TX
Mailing Address - Zip Code:77380-3613
Mailing Address - Country:US
Mailing Address - Phone:936-443-4357
Mailing Address - Fax:281-292-4018
Practice Address - Street 1:1600 LAKE FRONT CIR
Practice Address - Street 2:SUITE 150
Practice Address - City:THE WOODLANDS
Practice Address - State:TX
Practice Address - Zip Code:77380-3613
Practice Address - Country:US
Practice Address - Phone:936-443-4357
Practice Address - Fax:281-292-4018
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX11228101YP2500X
TX2671106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist