Jeff Thaldorf
Jeff Thaldorf is a Community/Behavioral Health Agency in Boise, Idaho. Practices as a sole proprietor. Licensed in Idaho.
- Licensed in
- ID
- In the registry since
- 2025
Practice location Address checks out
904 N Imperial WayBoise, ID 83704-9033
Phone: (208) 841-5707
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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 number | 1346118312 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | October 29, 2025 |
| Last updated in NPPES | October 29, 2025 |
| Certification date | October 29, 2025 |
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