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Individual
DEMETRA S HAZATONES
Active
Individual
DEMETRA S HAZATONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LADC, LCMHC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
000538
VT
101YM0800X
Mental Health Counselor
068.0122237
VT
Other
Enumeration date
05/20/2011
Last updated
10/29/2018
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