| Jerry V Ridge, MADAC | |
|
7 Line Rd, Laurel, MS 39443-2663 | |
| (601) 705-1901 | |
| Not Available |
| Full Name | Jerry V Ridge |
|---|---|
| Gender | Male |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 7 Line Rd, Laurel, Mississippi |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447482237 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | AD01R-019R (Mississippi) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Jerry V Ridge, MADAC 7 Line Rd, Laurel, MS 39443-2663 Ph: (601) 705-1901 | Jerry V Ridge, MADAC 7 Line Rd, Laurel, MS 39443-2663 Ph: (601) 705-1901 |
Claudia Jones, PCMHT Counselor Medicare: Not Enrolled in Medicare Practice Location: 934 West Dr, Laurel, MS 39440 Phone: 601-426-7520 | |
Ms. Isis Monique Page, Counselor Medicare: Not Enrolled in Medicare Practice Location: 119 S 12th Ave, Laurel, MS 39440 Phone: 601-342-8215 | |
Akella White, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1721 W 10th St, Laurel, MS 39440 Phone: 601-425-9322 | |
Makinley Taylor, Counselor Medicare: Not Enrolled in Medicare Practice Location: 119 S 12th Ave, Laurel, MS 39440 Phone: 601-342-8215 Fax: 601-342-8210 | |
Stephanie Lindsey, LCMHT Counselor Medicare: Not Enrolled in Medicare Practice Location: 2103 N 6th Ave, Laurel, MS 39440 Phone: 601-705-1901 | |
Jasmine Kinchen, IDD SERVICES Counselor Medicare: Not Enrolled in Medicare Practice Location: 934 West Dr, Laurel, MS 39440 Phone: 601-426-7520 | |
Jessica Bayless, Counselor Medicare: Not Enrolled in Medicare Practice Location: 119 S 12th Ave, Laurel, MS 39440 Phone: 601-342-8215 Fax: 601-342-8210 |