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Organization

MEADOR FAMILY THERAPY LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JEFFERY RUSSELL MEADOR LAMFT (TREATMENT THERAPIST)
(208) 462-4967
Entity
Organization

Contact information

Practice address
916 ALDER CREEK RD., #272, GARDEN VALLEY, ID 83622-0272
(208) 462-4967
Mailing address
PO BOX 272, GARDEN VALLEY, ID 83622-0272
(208) 462-4967

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary

Other

Enumeration date
10/22/2025
Last updated
10/22/2025
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