| Pacific Rim Consulting Llc | |
|
101 South Main Street Pocatello ID 83204-4321 | |
| (208) 232-8840 | |
| (208) 232-0925 |
| Full Name | Pacific Rim Consulting Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 101 South Main Street, Pocatello, Idaho |
| Authorized Official Name and Position | Terry Fredrickson (OWNER, COUNSELOR) |
| Authorized Official Contact | 2082328840 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pacific Rim Consulting Llc 101 South Main Street Pocatello ID 83204-4321 Ph: (208) 232-8840 | Pacific Rim Consulting Llc 101 South Main Street Pocatello ID 83204-4321 Ph: (208) 232-8840 |
| NPI Number | 1437585114 |
|---|---|
| Provider Enumeration Date | 09/25/2013 |
| Last Update Date | 07/05/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437585114 | NPI | - | NPPES |
| 8067841 | Medicaid | ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (Idaho) | Primary |
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