Paul Kolodge
Community/Behavioral Health in Boise, ID. Individual provider (NPI-1).
NPI number1861361990
StatusActive
Last updated in NPPESNov 5, 2025
Details
- NPI
- 1861361990
- Entity type
- Individual (NPI-1)
- Name
- Paul Kolodge
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Nov 5, 2025
- Certification date
- Nov 5, 2025
- Last updated
- Nov 5, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251S00000X | Community/Behavioral Health | – | ID | Yes |
Practice location
8620 W Emerald St Ste 150Boise, ID 83704-4839
Phone 208-617-3265
Mailing address
40 N Sagehen LnNampa, ID 83651-5055
Phone 909-260-5638
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All 279 Community/Behavioral Health Agency providers in Boise · All 12,265 providers in Boise
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