Individual provider · Type 1 NPI

Roger F. Willis Iii, MA, OPT, SUD

Addiction (Substance Use Disorder) Counselor · Sacramento, CA

NPI number 1770056491 Active

Practice location

4343 Williamsbourgh Dr
Sacramento, CA 95823-2006

Mailing address

7190 Calvine Rd Apt 22
Sacramento, CA 95823-5720

Other practice locations

  • 10157 La Alegria Dr, Rancho Cordova, CA 95670-3109 · (916) 364-2833
  • 7190 Calvine Rd Apt 22, Sacramento, CA 95823-5720 · (916) 459-8001

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1770056491

Roger F. Willis Iii, MA, OPT, SUD's National Provider Identifier is 1770056491, issued on Jan 4, 2019. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Sacramento, CA. The record was last updated on Oct 8, 2019.