Individual
CAITLIN D FAHRNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
11042 MANCHESTER RD, KIRKWOOD, MO 63122
(844) 462-3492
Mailing address
7022 MARQUETTE AVE, SAINT LOUIS, MO 63139-2107
(618) 973-3231
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2013007076
MO
Other
Enumeration date
08/11/2014
Last updated
07/23/2018
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