SAMUEL CLEMENS LCSW
Individual Provider (NPI-1)
Active
Counselor, Mental Health
Provider Information
- NPI Number
1487267852- Provider Type
- Individual Provider (NPI-1)
- Credentials
- LCSW
- Status
- Active
Contact & Location
- Address
- 190 W MAIN ST, KUNA, ID, 836342702
- Phone
- (208) 598-8442
Specialties & Taxonomies
Counselor, Mental Health
Primary License: ID #LMSW-39917
Social Worker, Clinical