Organization
PACIFIC RIM CONSULTING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERRY FREDRICKSON CADC (OWNER, COUNSELOR)
(208) 232-8840
Entity
Organization
Contact information
Practice address
101 SOUTH MAIN STREET, POCATELLO, ID 83204-4321
(208) 232-8840
(208) 232-0925
Mailing address
101 SOUTH MAIN STREET, POCATELLO, ID 83204-4321
(208) 232-8840
(208) 232-0925
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8067841
—
ID
Enumeration date
09/25/2013
Last updated
07/05/2024
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