| Mr Chanon Watters, LCMHC, LADC | |
|
86 Lake St, Burlington, VT 05401-5297 | |
| (802) 734-1786 | |
| Not Available |
| Full Name | Mr Chanon Watters |
|---|---|
| Gender | Male |
| Speciality | Mental Health Counselor |
| Experience | 16 Years |
| Location | 86 Lake St, Burlington, Vermont |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750751624 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 000588 (Vermont) | Secondary |
| 101YM0800X | Counselor - Mental Health | 068.0100521 (Vermont) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| University Of Vermont Medical Center Inc | 3779491071 | 1060 |
| Entity Name | University Of Vermont Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659309615 PECOS PAC ID: 3779491071 Enrollment ID: O20040406001047 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Chanon Watters, LCMHC, LADC 86 Lake St, Burlington, VT 05401-5297 Ph: (802) 734-1786 | Mr Chanon Watters, LCMHC, LADC 86 Lake St, Burlington, VT 05401-5297 Ph: (802) 734-1786 |
Christine Rose Germano, MS, LCMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 34 Elmwood Ave, Burlington, VT 05401 Phone: 802-870-6858 | |
Rebecca Mckay, Counselor Medicare: Medicare Enrolled Practice Location: 112 Lake St, Burlington, VT 05401 Phone: 802-328-9827 | |
Katherine Santa Maria, Counselor Medicare: Not Enrolled in Medicare Practice Location: 31 Elmwood Ave, Burlington, VT 05401 Phone: 802-864-7423 | |
Sarah L. Gerdeman, LCSW-R, LICSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 617 Riverside Ave, Burlington, VT 05401 Phone: 802-864-6309 | |
Kendra Marceau, M.S., NCC, LADC Counselor Medicare: Medicare Enrolled Practice Location: 86 Lake St, Burlington, VT 05401 Phone: 802-865-3450 Fax: 802-860-5011 | |
Eric Hughes, Counselor Medicare: Not Enrolled in Medicare Practice Location: 34 Elmwood Ave, Burlington, VT 05401 Phone: 978-987-0305 | |
Jenal Dumas, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 187 Saint Paul St Ste 101, Burlington, VT 05401 Phone: 802-598-4182 |