Terry Fredrickson

NPI #1962293795 in Pocatello, Idaho

Provider Information

NPI Number
1962293795
Entity Type
Individual
Name
Terry Fredrickson
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Counselor - Professional
Enumeration Date
May 13, 2025
Last Updated
May 24, 2025

Practice Location

Address
33 RIVERSIDE DR
State
Idaho
ZIP Code
83204-4025
Phone
(208) 604-3933

Specialties & Taxonomy Codes

Specialty
Counselor - ProfessionalProfessional

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