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

Willis Ray Wilkerson

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1003659517

Willis Ray Wilkerson is an Addiction (Substance Use Disorder) Counselor in Annapolis, Maryland. Practices as a sole proprietor. Licensed in Maryland.

Licensed in
MD
In the registry since
2024

Practice location Address checks out

603 Broach Ct
Annapolis, MD 21401-4535
Phone: (443) 481-0208
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence SC3237 (MD)

Record details

NPI number1003659517
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJune 13, 2024
Last updated in NPPESJune 13, 2024
Certification dateJune 13, 2024
Mailing address603 Broach Ct, Annapolis, MD 21401-4535

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