Individual
JEFFERY RUSSELL MEADOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMFT
Contact information
Practice address
8610 W OVERLAND RD, BOISE, ID 83709-1645
(208) 954-8711
(208) 375-2217
Mailing address
PO BOX 450, GARDEN VALLEY, ID 83622-0450
(208) 462-3074
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
LAMFT-9253
ID
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
11/22/2021
Last updated
02/12/2026
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