Provider Demographics
NPI:1770108292
Name:GUNDERSON, CHRISTOPHER EARL (RN, LPC, NCC)
Entity type:Individual
Prefix:MR
First Name:CHRISTOPHER
Middle Name:EARL
Last Name:GUNDERSON
Suffix:
Gender:M
Credentials:RN, LPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12641 NEHER RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99516-3378
Mailing Address - Country:US
Mailing Address - Phone:907-980-7035
Mailing Address - Fax:
Practice Address - Street 1:12641 NEHER RIDGE DR
Practice Address - Street 2:
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99516-3378
Practice Address - Country:US
Practice Address - Phone:907-980-7035
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-06-10
Last Update Date:2025-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK223789163WG0000X
AK107793101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No163WG0000XNursing Service ProvidersRegistered NurseGeneral Practice