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WILLIS RAY WILKERSON
NPI 1003659517
Counselor - Addiction (Substance Use Disorder) in Annapolis, MD

Active since June 13, 2024
603 BROACH CT, ANNAPOLIS, MD 21401(443) 481-0208 Get Directions Write a Review

NPPES record last updated: June 13, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Willis Ray Wilkerson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WILLIS RAY WILKERSON (NPI 1003659517) is an individual addiction (substance use disorder) provider in Annapolis, Maryland, licensed in Maryland (SC3237) and active in the NPI registry since June 2024.

NPPES Registry Identity

NPI1003659517
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameWILLIS RAY WILKERSON
Location Address603 BROACH CTAnnapolis, MD 21401-4535
Mailing Address603 Broach CtAnnapolis, MD 21401-4535
Phone(443) 481-0208
Sole ProprietorYes
Enumeration DateJune 13, 2024
NPPES CertifiedJune 13, 2024
✔ NPI 1003659517 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in MD · SC3237
603 BROACH CT, Annapolis, MD 21401
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Willis Wilkerson's NPI number?

The NPI number for Willis Wilkerson is 1003659517. It was assigned to this individual provider in the NPPES registry on June 13, 2024.

Where is Willis Wilkerson located?

Willis Wilkerson practices at 603 Broach Ct, Annapolis, MD 21401. The listed phone number is (443) 481-0208.

What is Willis Wilkerson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Willis Wilkerson was last updated on June 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.