PHILLIP CHAIDEZ

LOS ANGELES, CA
NPI1508115619
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Additional Taxonomies1041C0700X Social Worker, Clinical
Enumeration Date2012-09-05
Last Update Date2013-04-03
Business Address
-- PHILLIP CHAIDEZ
550 S VERMONT AVENUE
LOS ANGELES, CA 90020
Phone number: 213-739-2379
Mailing Address
-- PHILLIP CHAIDEZ
550 S VERMONT AVENUE
LOS ANGELES, CA 90020
Phone number: 213-739-2379