Individual provider · Type 1 NPI

Ladra Pearl Grissom

Mental Health Counselor · Tacoma, WA

NPI number 1871357749 Active

Practice location

6201 Pacific Ave Ste C3
Tacoma, WA 98408-7423

Call (253) 363-8853 Map

Mailing address

14207 103rd Avenue Ct E Apt B303
Puyallup, WA 98374-3839

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XMC70025907 (WA)

Mental Health Counselor: Definition to come...

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About NPI 1871357749

Ladra Pearl Grissom's National Provider Identifier is 1871357749, issued on Feb 12, 2024. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Tacoma, WA. The record was last updated on Jan 2, 2026.