Healthcare Provider Details

I. General information

NPI: 1962369751
Provider Name (Legal Business Name): KLEMZ COUNSELING AND CONSULTING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/05/2026
Last Update Date: 01/05/2026
Certification Date: 01/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

301 CEDAR ST STE 301
SANDPOINT ID
83864-1425
US

IV. Provider business mailing address

217 CEDAR ST STE 109
SANDPOINT ID
83864-1410
US

V. Phone/Fax

Practice location:
  • Phone: 208-261-1075
  • Fax:
Mailing address:
  • Phone: 208-261-1075
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: JOSEPH MELVIN KLEMZ
Title or Position: OWNER
Credential: LICSW
Phone: 208-261-1075