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:PO BOX 91196
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99509-1196
Mailing Address - Country:US
Mailing Address - Phone:844-414-6737
Mailing Address - Fax:877-560-9702
Practice Address - Street 1:1601 W NORTHERN LIGHTS BLVD # 91196
Practice Address - Street 2:
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99517-3315
Practice Address - Country:US
Practice Address - Phone:844-414-6737
Practice Address - Fax:877-560-9702
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-03
Last Update Date:2024-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT10692468-6004101YP2500X
ARP2306016101YP2500X
AK138938101YP2500X
ORC4128101YP2500X
WALH00011334101YP2500X
SDLPC-MH30521101YP2500X
MECC5032101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional