Provider Demographics
NPI:1790017838
Name:MCNAUGHT, PATRICIA L (LPC-S RPT-S)
Entity type:Individual
Prefix:MRS
First Name:PATRICIA
Middle Name:L
Last Name:MCNAUGHT
Suffix:
Gender:F
Credentials:LPC-S RPT-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:28580 INTERSTATE 10 W
Mailing Address - Street 2:SUITE # 4
Mailing Address - City:BOERNE
Mailing Address - State:TX
Mailing Address - Zip Code:78006-9105
Mailing Address - Country:US
Mailing Address - Phone:830-230-5349
Mailing Address - Fax:
Practice Address - Street 1:28580 INTERSTATE 10 W
Practice Address - Street 2:SUITE # 4
Practice Address - City:BOERNE
Practice Address - State:TX
Practice Address - Zip Code:78006-9105
Practice Address - Country:US
Practice Address - Phone:830-230-5349
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-01-30
Last Update Date:2012-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX19681101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional