Individual
DEMETRA S HAZATONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LADC, LCMHC
Contact information
Practice address
1483 LOWER PLAIN, BRADFORD, VT 05033
(802) 222-4477
(802) 222-3242
Mailing address
PO BOX G, RANDOLPH, VT 05060-0167
(802) 728-4466
(802) 728-4197
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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