Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Jacob Waldorf

Individual provider Community/Behavioral Health Agency · NPI 1356249262

Jacob Waldorf is registered under Community/Behavioral Health Agency in Nampa, Idaho. Practices as a sole proprietor. Licensed in Idaho.

Licensed in
ID
In the registry since
2026

Practice location Address checks out

3307 Caldwell Blvd Ste 104
Nampa, ID 83651-6403
Phone: (208) 696-9767
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Behavioral Health Agency (primary) Taxonomy 251S00000X (ID)

Record details

NPI number1356249262
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedOctober 29, 2026
Last updated in NPPESOctober 29, 2026
Certification dateOctober 29, 2026

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