Provider Demographics
NPI:1588770796
Name:DANTO, KAREN M (MSW)
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:M
Last Name:DANTO
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30375 NORTHWESTERN HWY
Mailing Address - Street 2:SUITE 200
Mailing Address - City:FARMINGTON HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48334-3397
Mailing Address - Country:US
Mailing Address - Phone:248-737-5155
Mailing Address - Fax:248-254-3333
Practice Address - Street 1:30375 NORTHWESTERN HWY
Practice Address - Street 2:SUITE 200
Practice Address - City:FARMINGTON HILLS
Practice Address - State:MI
Practice Address - Zip Code:48334-3397
Practice Address - Country:US
Practice Address - Phone:248-737-5155
Practice Address - Fax:248-254-3333
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-21
Last Update Date:2011-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6801017318101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MIMI1788Medicare PIN