SQUARE ONE GJM NPI 1982323358

NPI Information

NPI: 1982323358
Provider Name: SQUARE ONE GJM
Classification: Counselor - 101YP2500X
Entity Type: Organization

Specialization: Professional

Address:
49 OLIVE ST
GALLIPOLIS, OH
ZIP 45631
Phone: (740) 441-5809
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SQUARE ONE GJM is a professional counselor in Gallipolis, OH. SQUARE ONE GJM NPI is 1982323358. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

49 OLIVE ST
GALLIPOLIS, OH
ZIP 45631-632
Phone: (740) 441-5809

The provider's authorized official is Amy N Sisson .
The authorized official title is Clinical Director and has the following contact phone number (740) 441-5809.

The enumeration date for this NPI number is 8/26/2022 and was last updated on 12/29/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1041C0700X	Social Worker	Clinical			No
2	101YP2500X	Counselor	Professional			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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