Doctor Name: | DANA MICHELLE CANO |
NPI Number: | 1265410955 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | 27136 |
Business Practice Address: | 4102 Pinion Dr U S A F Academy, CO - 808402502 |
Business Phone Number: | 7193332107 |
Business Fax Number: | |
Mailing Address: | 4204 W Muledeer Dr, U S A F ACADEMY |
State: | CO |
Postal Code: | 808401137 |
Phone Number: | 7192339654 |
Fax Number: | |
NPI Enumeration Date: | 01/04/2006 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 27136 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |