Individual
KATHREN QUIGLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
4150 ILLINOIS RD, FORT WAYNE, IN 46804-1208
(877) 594-9204
Mailing address
2922 GREENBRIAR DR, FORT WAYNE, IN 46804-2741
(260) 438-2052
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
39004419A
IN
222Q00000X
Developmental Therapist
—
—
Other
Enumeration date
12/06/2013
Last updated
05/10/2024
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