Individual provider · Type 1 NPI

Kennyon Glenn Willis

Professional Counselor · Oklahoma City, OK

NPI number 1891130688 Active

Practice location

1209 W Hefner Rd, Apt 162
Oklahoma City, OK 73114-7007

Call (405) 305-9476 Map

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XNone listed

Professional Counselor: Definition to come...

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About NPI 1891130688

Kennyon Glenn Willis's National Provider Identifier is 1891130688, issued on May 7, 2013. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Oklahoma City, OK. The record was last updated on May 7, 2013.