Healthcare Provider Details

I. General information

NPI: 1942163662
Provider Name (Legal Business Name): JAMIE ANNE QUINLAN MA, LMHCA, NCC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/09/2025
Last Update Date: 12/09/2025
Certification Date: 12/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16300 MILL CREEK BLVD STE 205
MILL CREEK WA
98012-1294
US

IV. Provider business mailing address

19128 88TH AVE W
EDMONDS WA
98026-5911
US

V. Phone/Fax

Practice location:
  • Phone: 206-677-7478
  • Fax:
Mailing address:
  • Phone: 206-313-9951
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMC70032101
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: