Individual
MR. SAMUEL CHRISTOPHER ROSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
1505 SUNSET RD, COLLINS, MS 39428-6389
(601) 288-4915
Mailing address
PO BOX 18421, HATTIESBURG, MS 39404-8400
(601) 288-4915
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1666
MS
Other
Enumeration date
01/01/2016
Last updated
01/01/2016
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