Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JERRY V RIDGE, MADAC
ActiveJERRY V RIDGE, MADAC is a Addiction (Substance Use Disorder) Counselor healthcare provider located in LAUREL, Mississippi. NPI 1447482237 is currently active in the NPPES registry. Verify at CMS.
Addiction (Substance Use Disorder) Counselor · LAUREL, MS
Registration Details
- NPI Number
- 1447482237
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 13, 2009 (17.050553022376 yrs)
- Last Updated
- Aug 13, 2009
- License
-
AD01R-019R (MS)
Practice Information
- Address
-
7 LINE RDLAUREL, MS, 394432663Browse MS providers · Browse ZIP 39443
- Phone
- 6017051901
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.