Individual provider · Type 1 NPI

Dorisha Delores Ballou

Peer Specialist · Los Angeles, CA

NPI number 1508666553 Active

Practice location

655 Maple Ave
Los Angeles, CA 90014-2211

Call (310) 848-9194 Map

Specialties and licenses

TaxonomyCodeLicense
Community Health Worker 172V00000XNone listed
Peer Specialist Primary 175T00000XNone listed

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 1508666553

Dorisha Delores Ballou's National Provider Identifier is 1508666553, issued on Mar 18, 2025. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Los Angeles, CA. The record was last updated on Jun 1, 2026.