Individual
ROSLYN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
350 W WOODROW WILSON AVE, SUITE 3572, JACKSON, MS 39213-7681
(601) 966-0167
Mailing address
350 W WOODROW WILSON AVE STE 3572, JACKSON, MS 39213-7682
(769) 251-5303
(769) 251-5681
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1251
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12637211
CAQH
MS
Enumeration date
10/10/2014
Last updated
10/14/2025
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