Healthcare Provider Details

I. General information

NPI: 1588770796
Provider Name (Legal Business Name): KAREN M DANTO MSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/21/2006
Last Update Date: 10/11/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

30375 NORTHWESTERN HWY SUITE 200
FARMINGTON HILLS MI
48334-3397
US

IV. Provider business mailing address

30375 NORTHWESTERN HWY SUITE 200
FARMINGTON HILLS MI
48334-3397
US

V. Phone/Fax

Practice location:
  • Phone: 248-737-5155
  • Fax: 248-254-3333
Mailing address:
  • Phone: 248-737-5155
  • Fax: 248-254-3333

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number6801017318
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: