# ADULT CHILD FAMILY COUNSELING OF MASON

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1245643139
- **Authorized official:** MR. JONATHAN MICHAEL LEAGUE LPCC-S, LICDC-S (OWNER)
- **Authorized official phone:** (513) 229-8386

## Contact information

- **Practice address:** 6400 THORNBERRY CT STE 620, MASON, OH 45040-7818
- **Practice address phone:** (513) 229-8386
- **Practice address fax:** (513) 229-8385
- **Mailing address:** 6400 THORNBERRY CT STE 620, MASON, OH 45040-7818
- **Mailing address phone:** (513) 229-8386
- **Mailing address fax:** (513) 229-8385

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |

## Other

- **Enumeration date:** 06/09/2014
- **Last updated:** 06/09/2014