Provider Demographics
NPI:1326504630
Name:LACASSE, SACHA
Entity Type:Individual
Prefix:
First Name:SACHA
Middle Name:
Last Name:LACASSE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1069 JERSEY ST
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80220-4544
Mailing Address - Country:US
Mailing Address - Phone:720-256-5058
Mailing Address - Fax:
Practice Address - Street 1:948 N LOGAN ST APT 1
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80203-5705
Practice Address - Country:US
Practice Address - Phone:303-309-9167
Practice Address - Fax:303-309-9167
Is Sole Proprietor?:No
Enumeration Date:2019-02-12
Last Update Date:2019-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health