Individual provider · Type 1 NPI

Olivia Roberts, PCCSSS

Counselor · Leakesville, MS

NPI number 1396506093 Active

Practice location

1501 Lackey St
Leakesville, MS 39451-3108

Fax (601) 394-6542

Mailing address

PO Box 18679
Hattiesburg, MS 39404-8679

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000X4033 (MS)

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

6 other providers at this address

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About NPI 1396506093

Olivia Roberts, PCCSSS's National Provider Identifier is 1396506093, issued on Jan 19, 2024. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Leakesville, MS. The record was last updated on Jan 19, 2024.