TERRY FREDRICKSON
Counselor - Professional
Active
Individual
NPI: 1962293795
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Counselor - Professional | 101YP2500X | Yes | - |
Frequently Asked Questions
NPI 1962293795 is the National Provider Identifier for TERRY FREDRICKSON, a Counselor - Professional provider located in Pocatello, ID. This NPI was enumerated on May 13, 2025.
TERRY FREDRICKSON practices at 33 RIVERSIDE DR, Pocatello, ID 83204.
Quick Facts
- NPI
- 1962293795
- Type
- Individual
- Enumerated
- May 13, 2025
- Last Updated
- May 24, 2025
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