Individual provider · Type 1 NPI

Lawrence David Grissom Jr.

Addiction (Substance Use Disorder) Counselor · Long Beach, CA

NPI number 1811703176 Active

Practice location

2120 W Williams St
Long Beach, CA 90810-3636

Call (562) 388-8115 Map

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X19954 (CA)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1811703176

Lawrence David Grissom Jr.'s National Provider Identifier is 1811703176, issued on Dec 10, 2024. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Long Beach, CA. The record was last updated on Dec 10, 2024.