| Clara Martin Center | |
|
11 Main Street Randolph VT 05060 | |
| (802) 728-4466 | |
| (802) 728-4197 |
| Full Name | Clara Martin Center |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 11 Main Street, Randolph, Vermont |
| Authorized Official Name and Position | Tom Breslin (CONTROLLER) |
| Authorized Official Contact | 8027284466 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Clara Martin Center Po Box G Randolph VT 05060-0167 Ph: (802) 728-4466 | Clara Martin Center 11 Main Street Randolph VT 05060 Ph: (802) 728-4466 |
| NPI Number | 1053679266 |
|---|---|
| Provider Enumeration Date | 04/25/2012 |
| Last Update Date | 05/03/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053679266 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
Jessica K. Wright, Lcmhc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 28 Pleasant St, Randolph, VT 05060 Phone: 802-505-8596 | |
Clara Martin Center Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 11 S Main St, Randolph, VT 05060 Phone: 802-728-4466 Fax: 802-728-4197 | |
Marjorie R Crowe Msw Corp Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1 Belle Fred Dr, Randolph, VT 05060 Phone: 802-728-3018 | |
Clara Martin Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 11 S Main St, Randolph, VT 05060 Phone: 802-728-4466 Fax: 802-728-4197 |