SQUARE ONE GJM NPI 1952022964

NPI Information

NPI: 1952022964
Provider Name: SQUARE ONE GJM
Classification: Counselor - 101YA0400X
Entity Type: Organization

Specialization: Addiction (Substance Use Disorder)

Address:
49 OLIVE ST
GALLIPOLIS, OH
ZIP 45631
Phone: (740) 441-5809
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SQUARE ONE GJM is an addiction (substance use disorder) counselor in Gallipolis, OH. SQUARE ONE GJM NPI is 1952022964. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

49 OLIVE ST
GALLIPOLIS, OH
ZIP 45631-632
Phone: (740) 441-5809
Fax: (740) 578-9242

The provider's authorized official is Amy 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 9/7/2022 and was last updated on 7/19/2023.

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	101YA0400X	Counselor	Addiction (Substance Use Disorder)			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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