| Doctor Name: | MRS. CARA NICOLE FARIES |
| NPI Number: | 1023151230 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.A., LPC |
| License Number: | 2005009378 |
| Business Practice Address: | 800 Holland Rd Ballwin, MO - 630217230 |
| Business Phone Number: | 6363866611 |
| Business Fax Number: | |
| Mailing Address: | 1876 Spring Mill Crk, SAINT CHARLES |
| State: | MO |
| Postal Code: | 633031332 |
| Phone Number: | 3147573121 |
| Fax Number: | |
| NPI Enumeration Date: | 02/15/2007 |
| NPI Last Update Date: | 05/31/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 2005009378 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MO |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |