person
Jerry V Ridge, MADAC
Addiction (Substance Use Disorder) Counselor in Laurel, Mississippi
NPI 1447482237

Jerry V Ridge is an Addiction (Substance Use Disorder) Counselor based in Laurel, MS and is specialized in Addiction (Substance Use Disorder). Jerry V Ridge practices in Laurel, MS and has the professional credentials of MADAC. The NPI Number for Jerry V Ridge is 1447482237 and holds a License No. AD01R-019R (Mississippi).

The current practice location address for Jerry V Ridge is 7 Line Rd, Laurel, MS and can be reached out via phone at 601-705-1901.

Location: 7 Line Rd, Laurel, MS, 39443-2663
person
Provider Profile Details
NPI Number
1447482237
Provider Name
Jerry V Ridge
Credential
MADAC
Provider Entity Type
Individual
Gender
Male
Address
7 Line Rd, Laurel, MS, 39443-2663
Phone Number
601-705-1901
Fax Number
Provider Enumeration Date
08/13/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
7 Line Rd
City
State
Zip
39443-2663
Phone Number
601-705-1901
Fax Number
person
Provider Business Mailing Address Details
Address
7 Line Rd
City
State
Zip
39443-2663
Phone Number
601-705-1901
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
AD01R-019R (Mississippi)
Definition
Definition to come...
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