Provider Demographics
NPI:1578218509
Name:QUARRLES, NIGEL
Entity Type:Individual
Prefix:
First Name:NIGEL
Middle Name:
Last Name:QUARRLES
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21325 76TH AVE W # A3
Mailing Address - Street 2:
Mailing Address - City:EDMONDS
Mailing Address - State:WA
Mailing Address - Zip Code:98026-7511
Mailing Address - Country:US
Mailing Address - Phone:425-697-3830
Mailing Address - Fax:
Practice Address - Street 1:21325 76TH AVE W # A3
Practice Address - Street 2:
Practice Address - City:EDMONDS
Practice Address - State:WA
Practice Address - Zip Code:98026-7511
Practice Address - Country:US
Practice Address - Phone:425-697-3830
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-02-17
Last Update Date:2022-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor