| Demetra S Hazatones, LADC, LCMHC | |
| 1483 Lower Plain, Bradford, VT 05033 | |
| (802) 222-4477 | |
| (802) 222-3242 | 
| Full Name | Demetra S Hazatones | 
|---|---|
| Gender | Female | 
| Speciality | Counselor - Addiction (substance Use Disorder) | 
| Location | 1483 Lower Plain, Bradford, Vermont | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1083907281 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 068.0122237 (Vermont) | Secondary | 
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 000538 (Vermont) | Primary | 
| Entity Name | Clara Martin Center | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1386710861 PECOS PAC ID: 1951395367 Enrollment ID: O20060315000608 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Demetra S Hazatones, LADC, LCMHC Po Box G, Randolph, VT 05060-0167 Ph: (802) 728-4466 | Demetra S Hazatones, LADC, LCMHC 1483 Lower Plain, Bradford, VT 05033 Ph: (802) 222-4477 | 
| Lisa Cadow, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 1740 Lower Pln, Bradford, VT 05033 Phone: 802-222-4477 Fax: 802-728-3242 | |
| Lila Bradley,  Counselor Medicare: Not Enrolled in Medicare Practice Location: 437 S Main St, Bradford, VT 05033 Phone: 603-848-0577 | |
| Mr. Robert William Claflin, LCMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 331 Upper Plain, Upper Valley Pediatrics, Bradford, VT 05033 Phone: 802-222-4722 Fax: 802-222-4709 | |
| Jazmin Smith, LICSW Counselor Medicare: Medicare Enrolled Practice Location: 437 S Main St, Bradford, VT 05033 Phone: 802-222-9317 | |
| Dale Pushee, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: Po Box 278, Bradford, VT 05033 Phone: 802-222-4477 Fax: 802-728-3242 | |
| Aubrey Welch, LCMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 547 Lower Plain Rd, Bradford, VT 05033 Phone: 802-449-7168 |