Provider Demographics
NPI:1588114102
Name:QUIGLEY, JANE T (MLADC, LCMHC)
Entity type:Individual
Prefix:
First Name:JANE
Middle Name:T
Last Name:QUIGLEY
Suffix:
Gender:F
Credentials:MLADC, LCMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3 PIERCE RD
Mailing Address - Street 2:
Mailing Address - City:DUBLIN
Mailing Address - State:NH
Mailing Address - Zip Code:03444-8657
Mailing Address - Country:US
Mailing Address - Phone:603-563-8501
Mailing Address - Fax:
Practice Address - Street 1:3 PIERCE RD
Practice Address - Street 2:
Practice Address - City:DUBLIN
Practice Address - State:NH
Practice Address - Zip Code:03444-8657
Practice Address - Country:US
Practice Address - Phone:603-563-8501
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-10-06
Last Update Date:2021-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH2385101YM0800X
NH1213101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health