Provider Demographics
NPI:1376731281
Name:MCNAUGHT, JENNIFER ANDERSON (LPC)
Entity Type:Individual
Prefix:MRS
First Name:JENNIFER
Middle Name:ANDERSON
Last Name:MCNAUGHT
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:MRS
Other - First Name:JENNIFER
Other - Middle Name:ANDERSON
Other - Last Name:SECOR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC
Mailing Address - Street 1:860 E 4500 S
Mailing Address - Street 2:SUITE 302
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84107-3002
Mailing Address - Country:US
Mailing Address - Phone:801-706-9272
Mailing Address - Fax:801-268-3777
Practice Address - Street 1:860 E 4500 S
Practice Address - Street 2:SUITE 302
Practice Address - City:SALT LAKE CITY
Practice Address - State:UT
Practice Address - Zip Code:84107-3002
Practice Address - Country:US
Practice Address - Phone:801-706-9272
Practice Address - Fax:801-268-3777
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-05
Last Update Date:2007-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT361214-6004101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional