MEDICARE: CATHERINE ELAINE MCNAUGHTON IMFT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106H00000X	Marriage & Family Therapist	45898	CA
2	106H00000X	Marriage & Family Therapist	LF60563542	WA

General Provider Information

NPI Number	:	1417235698
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CATHERINE ELAINE MCNAUGHTON IMFT

Provider Business Mailing Address
First Line	:	3157 GRANDVIEW DR W
Second Line	:
City	:	UNIVERSITY PLACE
State	:	WA
Zip	:	98466-2626
Country	:	US
Telephone Number	:	916-316-5502
Fax Number	:

Provider Business Practice Location Address
First Line	:	5201 OLYMPIC DR STE 210
Second Line	:
City	:	GIG HARBOR
State	:	WA
Zip	:	98335-1778
Country	:	US
Telephone Number	:	253-752-7320
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/22/2011
Last Update Date	:	07/03/2025

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