| Jon Fouts Dba Horizons East Llc | |
|
24 Front St Ste 203 Pataskala OH 43062-8357 | |
| (740) 877-8115 | |
| Not Available |
| Full Name | Jon Fouts Dba Horizons East Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 24 Front St Ste 203, Pataskala, Ohio |
| Authorized Official Name and Position | Jon W Fouts (OWNER/DIRECTOR) |
| Authorized Official Contact | 7408778115 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jon Fouts Dba Horizons East Llc 24 Front St Ste 203 Pataskala OH 43062-8357 Ph: (740) 877-8115 | Jon Fouts Dba Horizons East Llc 24 Front St Ste 203 Pataskala OH 43062-8357 Ph: (740) 877-8115 |
| NPI Number | 1316684459 |
|---|---|
| Provider Enumeration Date | 05/19/2022 |
| Last Update Date | 05/19/2022 |
| Certification Date | 05/19/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316684459 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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