Individual
MR. JON W FOUTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ACSW, LISW-S
Contact information
Practice address
24 EAST FRONT ST STE 203, PATASKALA, OH 43062-8357
(740) 877-8115
Mailing address
590 NEWARK GRANVILLE RD, GRANVILLE, OH 43023-1436
(888) 531-7444
(614) 867-9889
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0008077
OH
Other
Enumeration date
04/03/2019
Last updated
06/27/2019
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