Individual
SHEILA GRAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CAC-AD
Contact information
Practice address
4659 LOGSDON DR, ANNANDALE, VA 22003-3564
(301) 773-3500
(301) 773-1170
Mailing address
4659 LOGSDON DR, ANNANDALE, VA 22003-3564
(301) 773-3500
(301) 773-1170
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
AC1794
MD
Other
Enumeration date
08/31/2015
Last updated
08/31/2015
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