MR. Jon W Fouts, ACSW, LISW-S

NPI #1235691700 in Pataskala, Ohio

Provider Information

NPI Number: 1235691700
Entity Type: Individual
Name: MR. Jon W Fouts, ACSW, LISW-S
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker - Clinical
Credential: ACSW, LISW-S
Enumeration Date: Apr 3, 2019
Last Updated: Jun 27, 2019

Practice Location

Address: 24 EAST FRONT ST STE 203
City: Pataskala
State: Ohio
ZIP Code: 43062-8357
Phone: (740) 877-8115

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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