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NPI Code Detail

MEDICARE: MR. CHRISTOPHER EARL GUNDERSON RN, LPC, NCC

MEDICARE: MR. CHRISTOPHER EARL GUNDERSON RN, LPC, NCC
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
1163WG0000XGeneral Practice Registered Nurse223789AK
2101YP2500XProfessional Counselor107793AK

General Provider Information

NPI Number : 1770108292
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. CHRISTOPHER EARL GUNDERSON RN, LPC, NCC
Provider Business Mailing Address
First Line : 3705 ARCTIC BLVD # 364
Second Line :
City : ANCHORAGE
State : AK
Zip : 99503-5774
Country : US
Telephone Number : 907-980-7035
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 : 907-980-7035
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/10/2020
Last Update Date : 11/14/2025

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