Provider Demographics
NPI:1053388348
Name:MCDONALD, CONSTANCE ANNE (LMFT)
Entity type:Individual
Prefix:MS
First Name:CONSTANCE
Middle Name:ANNE
Last Name:MCDONALD
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1850 AVENUE D
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77493-1657
Mailing Address - Country:US
Mailing Address - Phone:281-769-2970
Mailing Address - Fax:281-605-5808
Practice Address - Street 1:1850 AVENUE D
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77493-1657
Practice Address - Country:US
Practice Address - Phone:281-769-2970
Practice Address - Fax:281-605-5808
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-05
Last Update Date:2021-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC35133106H00000X
TX202226101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist