Mrs Brenda Dorsch Ibutu, LCPC is a
Counselor - Mental Health based in Lansdowne, Maryland. Mrs Brenda Dorsch Ibutu is licensed to practice in Maryland (license number LC3573) and her current practice location is
3902 Annapolis Rd, Lansdowne, Maryland. She can be reached at her office (for appointments etc.) via phone at
(410) 789-2647.
NPI number for Mrs Brenda Dorsch Ibutu is 1356644116 and her current mailing address is 3902 Annapolis Rd, Lansdowne, Maryland. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1356644116.
Healthcare Provider's Profile
Full Name | Mrs Brenda Dorsch Ibutu |
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Gender | Female |
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Speciality | Counselor - Mental Health |
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Location | 3902 Annapolis Rd, Lansdowne, Maryland |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1356644116
- Provider Enumeration Date: 12/15/2010
- Last Update Date: 12/15/2010
Medical Identifiers
Medical identifiers for Mrs Brenda Dorsch Ibutu such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1356644116 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101Y00000X | Counselor | LC3573 (Maryland) | Secondary |
101YA0400X | Counselor - Addiction (substance Use Disorder) | LC3573 (Maryland) | Secondary |
101YM0800X | Counselor - Mental Health | LC3573 (Maryland) | Primary |
101YP1600X | Counselor - Pastoral | LC3573 (Maryland) | Secondary |
101YP2500X | Counselor - Professional | LC3573 (Maryland) | Secondary |
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. Mrs Brenda Dorsch Ibutu 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 Address | Practice Location Address |
Mrs Brenda Dorsch Ibutu, LCPC 3902 Annapolis Rd, Lansdowne, MD 21227-2249 Ph: (410) 789-6247 | Mrs Brenda Dorsch Ibutu, LCPC 3902 Annapolis Rd, Lansdowne, MD 21227-2249 Ph: (410) 789-2647 |
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