Square One Gjm
NPI #1982323358 in Gallipolis, Ohio
Provider Information
- NPI Number
- 1982323358
- Entity Type
- Organization
- Organization Name
- Square One Gjm
- Primary Specialty
- Counselor - Professional
- Enumeration Date
- Aug 26, 2022
- Last Updated
- Dec 29, 2022
Practice Location
- Address
- 49 OLIVE ST
- City
- Gallipolis
- State
- Ohio
- ZIP Code
- 45631-1632
- Phone
- (740) 441-5809
Authorized Official
- Name
- DR. AMY N SISSON, PHD
- Title
- CLINICAL DIRECTOR
- Phone
- (740) 441-5809
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
| Counselor - Professional — Professional |
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