Individual
MARIA STANFIELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
19291 NORTHLINE RD, SOUTHGATE, MI 48195-2220
(734) 785-7726
Mailing address
19291 NORTHLINE RD, SOUTHGATE, MI 48195-2220
(734) 785-7726
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
6301013316
MI
103T00000X
Psychologist
Primary
6361003871
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
35-2482009
INTERNAL REVENUE SERVICE
MI
Enumeration date
09/10/2015
Last updated
09/23/2025
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