Organization
CLEMENS CREATIVE COUNSELING PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL CLEMENS (OWNER)
(208) 598-8442
Entity
Organization
Contact information
Practice address
190 W MAIN ST, KUNA, ID 83634-2702
(208) 598-8442
Mailing address
PO BOX 203, KUNA, ID 83634-0203
(208) 598-8442
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
01/23/2023
Last updated
06/25/2025
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