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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