Provider Demographics
NPI:1730487539
Name:MACNAUGHTON, L. JENAE (LMHC, LPC, LPC-S)
Entity Type:Individual
Prefix:
First Name:L. JENAE
Middle Name:
Last Name:MACNAUGHTON
Suffix:
Gender:F
Credentials:LMHC, LPC, LPC-S
Other - Prefix:
Other - First Name:L. JENAE
Other - Middle Name:
Other - Last Name:HENRY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMHC, LPC
Mailing Address - Street 1:1644 PLAZA WAY
Mailing Address - Street 2:302
Mailing Address - City:WALLA WALLA
Mailing Address - State:WA
Mailing Address - Zip Code:99362
Mailing Address - Country:US
Mailing Address - Phone:509-876-8065
Mailing Address - Fax:509-524-2993
Practice Address - Street 1:1644 PLAZA WAY
Practice Address - Street 2:302
Practice Address - City:WALLA WALLA
Practice Address - State:WA
Practice Address - Zip Code:99362
Practice Address - Country:US
Practice Address - Phone:509-876-8065
Practice Address - Fax:509-524-2993
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-03
Last Update Date:2019-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH00011334101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health