Roger Dewayne Willis
Roger Dewayne Willis is a Mental Health Counselor in Wagoner, Oklahoma. Practices as a sole proprietor. Licensed in Oklahoma.
- Licensed in
- OK
- In the registry since
- 2025
Practice location Address checks out
109 S Harrill AveWagoner, OK 74467-5317
Phone: (918) 485-0242
Fax: (918) 485-0204
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Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X (OK) |
|---|
Record details
| NPI number | 1598641367 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | August 15, 2025 |
| Last updated in NPPES | August 15, 2025 |
| Certification date | August 14, 2025 |
| Mailing address | 4103 S Yale Ave Ste B, Tulsa, OK 74135-6002 |
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Jayne Helen Stiles, BSW
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Mr. Steven Leon Wright
109 S Harrill Ave, Wagoner, OK 74467-5317 · (918) 485-0242
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Valarie Ann Zollinger, BS
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