Individual
MICKEY C DECARR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
85 SANGERS LN, STAUNTON, VA 24401-6712
(540) 887-3200
Mailing address
85 SANGERS LN, STAUNTON, VA 24401-6712
(540) 887-3200
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
0701001167
VA
106H00000X
Marriage & Family Therapist
Primary
0717000317
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110273
ANTHEM
VA
Enumeration date
03/06/2007
Last updated
09/11/2025
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