Provider Demographics
NPI:1457770356
Name:MCNAUGHTON, ANDREW (LCSW, CADC)
Entity Type:Individual
Prefix:MR
First Name:ANDREW
Middle Name:
Last Name:MCNAUGHTON
Suffix:
Gender:M
Credentials:LCSW, CADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:169 W 2710 SOUTH CIR STE 202A
Mailing Address - Street 2:
Mailing Address - City:SAINT GEORGE
Mailing Address - State:UT
Mailing Address - Zip Code:84790-7205
Mailing Address - Country:US
Mailing Address - Phone:773-575-9675
Mailing Address - Fax:
Practice Address - Street 1:169 W 2710 SOUTH CIR STE 202A
Practice Address - Street 2:
Practice Address - City:SAINT GEORGE
Practice Address - State:UT
Practice Address - Zip Code:84790-7205
Practice Address - Country:US
Practice Address - Phone:773-575-9675
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-04-08
Last Update Date:2022-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL30983101YA0400X
IL149.0173221041C0700X
UT12689912-35011041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)