person
Christopher M Ryan Douglas, BA
Peer Specialist in Los Angeles, California
NPI 1184499600

Christopher M Ryan Douglas is a Peer Specialist based in Los Angeles, CA. Christopher M Ryan Douglas practices in Los Angeles, CA and has the professional credentials of BA. The NPI Number for Christopher M Ryan Douglas is 1184499600 and holds a License No. MPSS-MSVWLP (California).

The current practice location address for Christopher M Ryan Douglas is 682 S Coronado St, Los Angeles, CA and can be reached out via phone at 213-388-5277.

Location: 682 S Coronado St, Los Angeles, CA, 90068-2339
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Provider Profile Details
NPI Number
1184499600
Provider Name
Christopher M Ryan Douglas
Credential
BA
Provider Entity Type
Individual
Gender
Male
Address
682 S Coronado St, Los Angeles, CA, 90068-2339
Phone Number
213-388-5277
Fax Number
Provider Enumeration Date
11/15/2023
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
MPSS-MSVWLP 01 CA CALMHSA CERTIFICATION NUMBER
institution
Provider Business Practice Location Address Details
Address
682 S Coronado St
City
State
Zip
90057-3406
Phone Number
213-388-5277
Fax Number
person
Provider Business Mailing Address Details
Address
682 S Coronado St
City
State
Zip
90057-3406
Phone Number
213-388-5277
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
License No.
MPSS-MSVWLP (California)
Definition
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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