PETER PHOENIX CHINNICI

SAN RAFAEL, CA
NPI1619024288
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: CA  lcs14720)
Enumeration Date2007-01-04
Last Update Date2007-07-08
Business Address
Mr. PETER PHOENIX CHINNICI lcsw
820 LAS GALLINAS AVE KAISER PERMANENTE DEPT OF PSYCHIATRY
SAN RAFAEL, CA 94903-3410
Phone number: 415-444-3027
Mailing Address
Mr. PETER PHOENIX CHINNICI lcsw
332 BAYVIEW ST
SAN RAFAEL, CA 94901-4934
Phone number: 415-457-8340
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