Dorisha Delores Ballou
Dorisha Delores Ballou is a Community Health Worker in Los Angeles, California. Practices as a sole proprietor. Licensed in California.
- Licensed in
- CA
- In the registry since
- 2025
- Specialties on file
- 2
Practice location Address checks out
655 Maple AveLos Angeles, CA 90014-2211
Phone: (310) 848-9194
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Specialties & licences
| Peer Specialist (primary) | Taxonomy 175T00000X (CA) |
|---|---|
| Community Health Worker | Taxonomy 172V00000X |
Record details
| NPI number | 1508666553 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | March 18, 2025 |
| Last updated in NPPES | June 1, 2026 |
| Certification date | June 1, 2026 |
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