Organization
SQUARE ONE GJM
Active
Other names
Square One GJM
Organization subpart
No
Provider details
NPI number
Authorized official
SONYA J HATEM LSW (OPERATIONS DIRECTOR)
(740) 441-5809
Entity
Organization
Contact information
Practice address
49 OLIVE ST, GALLIPOLIS, OH 45631-1632
(740) 441-5809
(740) 578-9242
Mailing address
PO BOX 272, GALLIPOLIS, OH 45631-0272
(740) 441-5809
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
09/07/2022
Last updated
09/10/2025
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