Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Willis Shockley Jr.

Individual provider Mental Health Counselor · NPI 1033298088

Mr. Willis Shockley Jr. is a Mental Health Counselor in Anchorage, Alaska. Practices as a sole proprietor. Registered with an NPI since 2006.

In the registry since
2006

Practice location Address checks out

4045 Lake Otis Pkwy Ste 101
Anchorage, AK 99508-5211
Phone: (907) 762-2816
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X

Record details

NPI number1033298088
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedNovember 2, 2006
Last updated in NPPESJuly 8, 2007

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