Provider Demographics
NPI:1215706445
Name:QUIGLEY, JAMIE NOEL (LAC)
Entity type:Individual
Prefix:
First Name:JAMIE
Middle Name:NOEL
Last Name:QUIGLEY
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:127 SCHMITZ TER
Mailing Address - Street 2:
Mailing Address - City:MT ARLINGTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07856-1204
Mailing Address - Country:US
Mailing Address - Phone:973-800-4994
Mailing Address - Fax:
Practice Address - Street 1:127 SCHMITZ TER
Practice Address - Street 2:
Practice Address - City:MT ARLINGTON
Practice Address - State:NJ
Practice Address - Zip Code:07856-1204
Practice Address - Country:US
Practice Address - Phone:973-800-4994
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-12-28
Last Update Date:2023-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37AC00579600101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health