Jonathan M. League Private Practice

NPI #1649523192 in Mason, Ohio

Provider Information

NPI Number: 1649523192
Entity Type: Organization
Organization Name: Jonathan M. League Private Practice
Primary Specialty: Counselor - Mental Health
Enumeration Date: Oct 22, 2012
Last Updated: Oct 22, 2012

Practice Location

Address: 6400 THORNBERRY CT STE 620
City: Mason
State: Ohio
ZIP Code: 45040-7818
Phone: (513) 229-8386

Authorized Official

Name: MR. JONATHAN M. LEAGUE, LPCC-S, LICDC
Title: OWNER
Phone: (513) 229-8386

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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