Individual
JEFFERY RYAN FOUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6202 TRUST DR, HOLLAND, OH 43528-8425
(419) 824-8462
Mailing address
6202 TRUST DR, HOLLAND, OH 43528-8425
(419) 824-8462
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
183247
OH
Other
Enumeration date
06/15/2023
Last updated
06/15/2023
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