Individual
EMILY J HAWES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LADC
Contact information
Practice address
11 N MAIN ST, PO BOX G, RANDOLPH, VT 05060-1126
(802) 728-4466
(802) 728-4197
Mailing address
11 N MAIN ST, PO BOX G, RANDOLPH, VT 05060-1126
(802) 728-4466
(802) 728-4197
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
000455
VT
Other
Enumeration date
01/28/2009
Last updated
01/28/2009
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