Provider Demographics
NPI:1457465106
Name:QUIGLEY, REBECCA LYNN (MA LPCC)
Entity Type:Individual
Prefix:MRS
First Name:REBECCA
Middle Name:LYNN
Last Name:QUIGLEY
Suffix:
Gender:F
Credentials:MA LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2101 WOODLAWN AVE NW
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:OH
Mailing Address - Zip Code:44708
Mailing Address - Country:US
Mailing Address - Phone:330-479-2827
Mailing Address - Fax:
Practice Address - Street 1:3118 CLEVELAND AVE NW
Practice Address - Street 2:RICHARD A GEORGE PHD INC
Practice Address - City:CANTON
Practice Address - State:OH
Practice Address - Zip Code:44709-2813
Practice Address - Country:US
Practice Address - Phone:330-492-9913
Practice Address - Fax:330-492-6561
Is Sole Proprietor?:No
Enumeration Date:2006-08-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE2602101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor