IndividualActive
Jerry Ridge, MADAC
NPI 1447482237 · Addiction (Substance Use Disorder) Counselor · Laurel, MS
Provider details
- NPI number
- 1447482237
- Entity type
- Individual
- Primary specialty
- Addiction (Substance Use Disorder) CounselorBehavioral Health & Social Service Providers
- Credential
- MADAC
- Sex
- Male
- Sole proprietor
- No
- License
- AD01R-019R (MS)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
7 Line Rd
Laurel, MS 39443-2663
Phone: (601) 705-1901
Approximate (ZIP-level) locationGet directions
Mailing address
7 Line Rd
Laurel, MS 39443-2663
Registry dates
- Enumerated
- 2009-08-13
- Last updated
- 2026-05-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.