Healthcare Provider Details

I. General information

NPI: 1588114102
Provider Name (Legal Business Name): JANE T QUIGLEY MLADC, LCMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/06/2016
Last Update Date: 11/19/2025
Certification Date: 11/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3 PIERCE RD
DUBLIN NH
03444-8657
US

IV. Provider business mailing address

3 PIERCE RD
DUBLIN NH
03444-8657
US

V. Phone/Fax

Practice location:
  • Phone: 603-563-8501
  • Fax:
Mailing address:
  • Phone: 603-563-8501
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number1213
License Number StateNH
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number2385
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: