Individual provider · Type 1 NPI

Christopher M. Ryan Douglas, BA

Peer Specialist · Los Angeles, CA

NPI number 1184499600 Active

Practice location

682 S Coronado St
Los Angeles, CA 90057-3406

Call (213) 388-5277 Map

Mailing address

2699 N Beachwood Dr
Los Angeles, CA 90068-2339

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000XMPSS-MSVWLP (CA)

Peer Specialist: Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

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About NPI 1184499600

Christopher M. Ryan Douglas, BA's National Provider Identifier is 1184499600, issued on Nov 15, 2023. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Los Angeles, CA. The record was last updated on Nov 15, 2023.