Individual
MRS. DANIELLE LEIGH QUIGLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, LADC
Contact information
Practice address
31 OLD ROUTE 7, BROOKFIELD, CT 06804
(203) 775-2583
(203) 775-2863
Mailing address
31 OLD ROUTE 7, BROOKFIELD, CT 06804
(203) 775-2583
(203) 775-2863
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
000569
CT
1041C0700X
Clinical Social Worker
Primary
004747
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
140004747CT01
ATHEM/BCBS PROVIDER
CT
01
—
163857
VALUE OPTIONS NUMBER
CT
01
—
189902
MHN NUMBER
CT
01
—
260607000
MAGELLAN NUMBER
CT
Enumeration date
09/16/2006
Last updated
12/10/2024
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