Provider Demographics
NPI:1710781497
Name:QUIGLEY, KALI JEAN
Entity type:Individual
Prefix:
First Name:KALI
Middle Name:JEAN
Last Name:QUIGLEY
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9720 CAPITAL CT STE 303
Mailing Address - Street 2:
Mailing Address - City:MANASSAS
Mailing Address - State:VA
Mailing Address - Zip Code:20110-2051
Mailing Address - Country:US
Mailing Address - Phone:703-828-5346
Mailing Address - Fax:
Practice Address - Street 1:9720 CAPITAL CT STE 303
Practice Address - Street 2:
Practice Address - City:MANASSAS
Practice Address - State:VA
Practice Address - Zip Code:20110-2051
Practice Address - Country:US
Practice Address - Phone:703-881-0121
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-02
Last Update Date:2025-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0704015531101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health