Individual
ASHLEY J FREDRICKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPSS
Contact information
Practice address
531E E 5TH ST, BURLEY, ID 83318-1402
(208) 678-3555
(208) 678-3556
Mailing address
522 E 13TH ST, BURLEY, ID 83318-1905
(208) 678-3555
(208) 678-3556
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
ID
Other
Enumeration date
11/03/2025
Last updated
11/03/2025
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