Individual
CARA ANN CARROTHERS PEROUTKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PLPC
Contact information
Practice address
301 SOVEREIGN CT STE 115, BALLWIN, MO 63011-4435
(636) 234-3052
Mailing address
509 SHOREWOOD CT, LAKE SAINT LOUIS, MO 63367-2655
(314) 276-7690
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
03/22/2023
Last updated
03/22/2023
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