Doctor Name: | CARA DAWN MERRITT |
NPI Number: | 1518022433 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS LPC |
License Number: | 2000151805 |
Business Practice Address: | 1600 Heritage Landing Suite 116 St Peters, MO - 63303 |
Business Phone Number: | 6363451400 |
Business Fax Number: | 6364413263 |
Mailing Address: | 1600 Heritage Landing, Suite 116 ST PETERS |
State: | MO |
Postal Code: | 63303 |
Phone Number: | 6363451400 |
Fax Number: | 6364413262 |
NPI Enumeration Date: | 12/22/2006 |
NPI Last Update Date: | 04/05/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 2000151805 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MO |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |