| Jeffery Ryan Fout, | |
|
6202 Trust Dr, Holland, OH 43528-8425 | |
| (419) 824-8462 | |
| Not Available |
| Full Name | Jeffery Ryan Fout |
|---|---|
| Gender | Male |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 6202 Trust Dr, Holland, Ohio |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467136770 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 183247 (Ohio) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Jeffery Ryan Fout, 6202 Trust Dr, Holland, OH 43528-8425 Ph: (419) 824-8462 | Jeffery Ryan Fout, 6202 Trust Dr, Holland, OH 43528-8425 Ph: (419) 824-8462 |
Justin Link, CDCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 350 South Irwin Road, Holland, OH 43528 Phone: 567-703-9064 | |
Daniel Scott Lawrence, Counselor Medicare: Not Enrolled in Medicare Practice Location: 6202 Trust Dr, Holland, OH 43528 Phone: 419-491-7300 | |
Mrs. Helene Solomon Daum, Counselor Medicare: Not Enrolled in Medicare Practice Location: 6202 Trust Dr, Holland, OH 43528 Phone: 419-824-8462 | |
Sarah Elizabeth Lyczkowski, CDCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 6202 Trust Dr, Holland, OH 43528 Phone: 419-824-8462 | |
Joshua Mietelski, Counselor Medicare: Not Enrolled in Medicare Practice Location: 6202 Trust Dr, Holland, OH 43528 Phone: 419-824-8462 | |
Teresa Nickole Dennis, Counselor Medicare: Not Enrolled in Medicare Practice Location: 6648 South Ave, Holland, OH 43528 Phone: 567-703-9064 | |
Melisha Gallutia, Counselor Medicare: Not Enrolled in Medicare Practice Location: 6202 Trust Dr, Holland, OH 43528 Phone: 419-824-8462 |