Provider Demographics
NPI:1811643620
Name:GRAHAM, SACHA J (LMHP-S, MSW, QMHCM)
Entity type:Individual
Prefix:
First Name:SACHA
Middle Name:J
Last Name:GRAHAM
Suffix:
Gender:F
Credentials:LMHP-S, MSW, QMHCM
Other - Prefix:
Other - First Name:SACHA
Other - Middle Name:BACCHUS
Other - Last Name:GRAHAM
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LMHP-S, MSW, QMHCM
Mailing Address - Street 1:7921 JONES BRANCH DR STE 311
Mailing Address - Street 2:
Mailing Address - City:MC LEAN
Mailing Address - State:VA
Mailing Address - Zip Code:22102-3334
Mailing Address - Country:US
Mailing Address - Phone:703-772-5097
Mailing Address - Fax:
Practice Address - Street 1:8221 WILLOW OAKS CORPORATE DR
Practice Address - Street 2:
Practice Address - City:FAIRFAX
Practice Address - State:VA
Practice Address - Zip Code:22031-4512
Practice Address - Country:US
Practice Address - Phone:703-383-8535
Practice Address - Fax:703-653-7008
Is Sole Proprietor?:No
Enumeration Date:2022-03-02
Last Update Date:2022-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker