Individual
MRS. BRENDA DORSCH IBUTU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
3902 ANNAPOLIS RD, LANSDOWNE, MD 21227-2249
(410) 789-2647
(410) 789-8364
Mailing address
3902 ANNAPOLIS RD, LANSDOWNE, MD 21227-2249
(410) 789-6247
(410) 789-8364
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
LC3573
MD
101YA0400X
Addiction (Substance Use Disorder) Counselor
LC3573
MD
101YM0800X
Mental Health Counselor
Primary
LC3573
MD
101YP1600X
Pastoral Counselor
LC3573
MD
101YP2500X
Professional Counselor
LC3573
MD
Other
Enumeration date
12/15/2010
Last updated
12/15/2010
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us