Mr Keith Lamont Dangerfield, DMIN - Counselor in Detroit, MI

Mr Keith Lamont Dangerfield, DMIN is a Counselor - Pastoral based in Detroit, Michigan. Mr Keith Lamont Dangerfield is licensed to practice in * (Not Available) (license number ) and his current practice location is 4646 John R St, Detroit, Michigan. He can be reached at his office (for appointments etc.) via phone at (313) 576-1000.

NPI number for Mr Keith Lamont Dangerfield is 1679675532 and his current mailing address is 18034 Indiana St, Detroit, Michigan. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1679675532.

Contact Information

Mr Keith Lamont Dangerfield, DMIN
4646 John R St,
Detroit, MI 48201-1916
(313) 576-1000
(313) 576-1863

Map and Direction


Healthcare Provider's Profile

Full NameMr Keith Lamont Dangerfield
GenderMale
SpecialityCounselor - Pastoral
Location4646 John R St, Detroit, Michigan
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1679675532
  • Provider Enumeration Date: 09/02/2006
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Mr Keith Lamont Dangerfield such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1679675532NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YP1600XCounselor - Pastoral (* (Not Available))Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Keith Lamont Dangerfield is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mr Keith Lamont Dangerfield, DMIN
18034 Indiana St,
Detroit, MI 48221-2419

Ph: (313) 863-0929
Mr Keith Lamont Dangerfield, DMIN
4646 John R St,
Detroit, MI 48201-1916

Ph: (313) 576-1000

Reviews and Comments


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