Organization · Type 2 NPI

Jonathan M. League Private Practice

Mental Health Counselor · Mason, OH

NPI number 1649523192 Active

Practice location

6400 Thornberry Ct Ste 620
Mason, OH 45040-7818

Call (513) 229-8386 Map

Fax (513) 229-8385

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X021055 (OH)
Mental Health Counselor Primary 101YM0800XE. 0004364 (OH)

Mental Health Counselor: Definition to come...

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About NPI 1649523192

Jonathan M. League Private Practice's National Provider Identifier is 1649523192, issued on Oct 22, 2012. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Mason, OH. The record was last updated on Oct 22, 2012.