Individual
STACEY MARIE DALTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
41400 DEQUINDRE RD STE 110, STERLING HEIGHTS, MI 48314-3751
(586) 580-2975
(586) 580-2954
Mailing address
3125 MARION DR, ROYAL OAK, MI 48073-3237
(586) 246-8566
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6401010276
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1811101892
—
MI
Enumeration date
05/09/2007
Last updated
07/23/2025
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