Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Terry Fredrickson

Individual provider Professional Counselor · NPI 1962293795

Terry Fredrickson is a Professional Counselor in Pocatello, Idaho. Practices as a sole proprietor. Licensed in Idaho.

Licensed in
ID
In the registry since
2025

Practice location Address checks out

33 Riverside Dr
Pocatello, ID 83204-4025
Phone: (208) 604-3933
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X (ID)

Record details

NPI number1962293795
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMay 13, 2025
Last updated in NPPESMay 24, 2025
Certification dateMay 24, 2025
Mailing address101 S Main St, Pocatello, ID 83204-3210

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