League, Jonathan Michael

League, Jonathan Michael is an sole proprietor health care provider with primary practice located at 6400 Thornberry Court Unite 620, Mason OH 45040. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is his primary health care specialty. League, Jonathan Michael can be contacted via phone (513) 229-8386.

Contact Information

Primary practice address
6400 Thornberry Court Unite 620 Mason OH 45040
Phone: (513) 229-8386
Fax: (513) 229-8385
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 021055 Ohio
Behavioral Health & Social Service Providers / Professional 101YP2500X E 4364 Ohio
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X E 4364 Ohio

Profile Details

NPI number 1407932296
LBN Legal business name League, Jonathan Michael
Credentials LPCC, LCDC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 27th, 2006
Last updated Oct 7th, 2009 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407932296 NPPES
Ohio Other 000000477472 BCBS/ANTHEM ID

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