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Organization
JONATHAN M. LEAGUE PRIVATE PRACTICE
Active
Organization
JONATHAN M. LEAGUE PRIVATE PRACTICE
Active
Other names
Adult, Child, Family Counseling of Mason
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JONATHAN M. LEAGUE LPCC-S, LICDC (OWNER)
(513) 229-8386
Entity
Organization
Contact information
Practice address
6400 THORNBERRY CT STE 620, MASON, OH 45040-7818
(513) 229-8386
(513) 229-8385
Mailing address
6400 THORNBERRY CT STE 620, MASON, OH 45040-7818
(513) 229-8386
(513) 229-8385
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
021055
OH
101YM0800X
Mental Health Counselor
Primary
E. 0004364
OH
Other
Enumeration date
10/22/2012
Last updated
10/22/2012
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