Individual
JESSICA RIDGEWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
1070 COUNTY FARM RD, ZEBULON, GA 30295
(770) 567-0531
Mailing address
1070 COUNTY FARM RD, ZEBULON, GA 30295
(770) 567-0531
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MFT001482
GA
Other
Enumeration date
03/03/2017
Last updated
07/24/2020
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