SearchIdahoCommunity/Behavioral Health Agency

Jeff Thaldorf

NPI 1346118312 · on the registry since 2025 · sole proprietor

Practice

Address
904 N Imperial Way
Boise, ID 83704
Phone
(208) 841-5707

Registry record

Primary taxonomy
Community/Behavioral Health Agency
251S00000X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-10-29

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho