MEDICARE: MURAT DEMIR STUDENT

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
1	101YM0800X	Mental Health Counselor		AK

General Provider Information

NPI Number	:	1790670818
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MURAT DEMIR STUDENT

Provider Business Mailing Address
First Line	:	3003 W 42ND AVE
Second Line	:
City	:	ANCHORAGE
State	:	AK
Zip	:	99517-2881
Country	:	US
Telephone Number	:	907-891-3909
Fax Number	:

Provider Business Practice Location Address
First Line	:	2400 SPENARD RD STE 200
Second Line	:
City	:	ANCHORAGE
State	:	AK
Zip	:	99503-1644
Country	:	US
Telephone Number	:	855-573-4980
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/10/2025
Last Update Date	:	05/19/2026

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Directions to “ MURAT DEMIR STUDENT” Practice Location

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