Individual
JASON BLAIR TROUT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCDC III
Contact information
Practice address
1 ELIZABETH PL, DAYTON, OH 45417-3445
(937) 813-1737
Mailing address
173 MERTLAND AVE, DAYTON, OH 45431-1824
(937) 641-1768
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LCDCIII.162160
OH
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
05/31/2019
Last updated
05/24/2021
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