Individual
VIVIAN CARR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
801 S WOODLAWN AVE STE 16, O FALLON, MO 63366-7647
(636) 379-1779
Mailing address
1900 SILVER LAKE RD NW STE 110, NEW BRIGHTON, MN 55112-1789
(651) 628-9566
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2011001822
MO
Other
Enumeration date
10/10/2014
Last updated
11/21/2025
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