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NPI Code Detail

MEDICARE: MARIANNA CORKILL

MEDICARE: MARIANNA CORKILL
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
1101YA0400XAddiction (Substance Use Disorder) Counselor
21041C0700XClinical Social Worker246285AK
3101YM0800XMental Health Counselor192849AK

General Provider Information

NPI Number : 1790566131
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARIANNA CORKILL
Provider Business Mailing Address
First Line : 2600 CORDOVA ST STE 101
Second Line :
City : ANCHORAGE
State : AK
Zip : 99503-2745
Country : US
Telephone Number : 219-850-4084
Fax Number :
Provider Business Practice Location Address
First Line : 2600 CORDOVA ST STE 101
Second Line :
City : ANCHORAGE
State : AK
Zip : 99503-2745
Country : US
Telephone Number : 219-850-4084
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/11/2023
Last Update Date : 06/08/2026

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Directions to “ MARIANNA CORKILL ” Practice Location

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