| Clemens Creative Counseling Pllc | |
|
1619 N Linder Rd Ste 104 Kuna ID 83634-3010 | |
| (208) 598-8442 | |
| Not Available |
| Full Name | Clemens Creative Counseling Pllc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1619 N Linder Rd Ste 104, Kuna, Idaho |
| Authorized Official Name and Position | Samuel Clemens (OWNER) |
| Authorized Official Contact | 2085988442 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Clemens Creative Counseling Pllc 1619 N Linder Rd Ste 104 Kuna ID 83634-3010 Ph: (208) 598-8442 | Clemens Creative Counseling Pllc 1619 N Linder Rd Ste 104 Kuna ID 83634-3010 Ph: (208) 598-8442 |
| NPI Number | 1366158461 |
|---|---|
| Provider Enumeration Date | 01/23/2023 |
| Last Update Date | 03/10/2023 |
| Certification Date | 03/10/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366158461 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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