Provider Demographics
NPI:1952089450
Name:DONALD, KAREN
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:
Last Name:DONALD
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7110 ORCHARD LAKE RD UNIT 3040
Mailing Address - Street 2:
Mailing Address - City:WEST BLOOMFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48322-3897
Mailing Address - Country:US
Mailing Address - Phone:734-707-7782
Mailing Address - Fax:
Practice Address - Street 1:7110 ORCHARD LAKE RD UNIT 3040
Practice Address - Street 2:
Practice Address - City:WEST BLOOMFIELD
Practice Address - State:MI
Practice Address - Zip Code:48322-3897
Practice Address - Country:US
Practice Address - Phone:734-707-7782
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-07-06
Last Update Date:2023-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health