Healthcare Provider Details

I. General information

NPI: 1023318094
Provider Name (Legal Business Name): DORCAS K. HUTTON M.S., LCPC, NCC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/25/2010
Last Update Date: 06/16/2026
Certification Date: 06/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

104 UPNOR RD
BALTIMORE MD
21212-3326
US

IV. Provider business mailing address

104 UPNOR RD
BALTIMORE MD
21212-3326
US

V. Phone/Fax

Practice location:
  • Phone: 443-418-1008
  • Fax:
Mailing address:
  • Phone: 443-418-1008
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLC4669
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: