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NPI Code Detail

MEDICARE: ALASKA MENTAL FITNESS, LLC

MEDICARE: ALASKA MENTAL FITNESS, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor
2363LP0808XPsychiatric/Mental Health Nurse Practitioner

General Provider Information

NPI Number : 1689500068
Entity Type Code : Organization
Provider Name (Legal Business Name) : ALASKA MENTAL FITNESS, LLC
Provider Business Mailing Address
First Line : 3705 ARCTIC BLVD # 364
Second Line :
City : ANCHORAGE
State : AK
Zip : 99503-5774
Country : US
Telephone Number : 866-528-9396
Fax Number :
Provider Business Practice Location Address
First Line : 517 W NORTHERN LIGHTS BLVD
Second Line :
City : ANCHORAGE
State : AK
Zip : 99503-2503
Country : US
Telephone Number : 866-528-9396
Fax Number :
Authorized Official
Title or Position : OWNER
Name : CHRISTOPHER EARL GUNDERSON
Credential : RN, LPC, NCC
Telephone Number : 907-980-7035
Provider Enumeration Date : 06/22/2026
Last Update Date : 06/22/2026

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