Individual
WAYNE E FOUT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
219 COLUMBIA ST, JACKSON, OH 45640-1771
(740) 577-9003
(740) 577-9184
Mailing address
219 COLUMBIA ST, JACKSON, OH 45640-1771
(740) 577-9003
(740) 577-9184
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
10/20/2025
Last updated
10/20/2025
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