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Daryl Cotton is psychiatric nurse practitioner for Estrella Integrative Psychiatry outpatient clinic in Avondale, Arizona. He specializes in the treatment of mood disorders, anxiety, ADHD, childhood behavioral issues, and addiction. He is experienced in the treatment of patients from the full spectrum of lifespan from children and adolescents, to adults and geriatric populations. Daryl is committed to practicing psychiatry using holistic approach and the focus of treatment is in medication management and therapy to help people enrich and improve their lives while dealing with mental illness and stress. He is personable and compassionate, skilled in therapeutic communication and individual counseling. He believes that prompt treatment and intervention improves outcomes and enhances lives.

Fernando Grabner, MD is a board-certified psychiatrist at 2nd Chance. He specializes in mood disorders and substance use disorders. He treats conditions such as depression, anxiety, panic, bipolar disorder, ADHD, schizophrenia, and substance use disorder. He offers his clinical expertise to patients in the communities of Phoenix, Glendale, Lichfield and Gilbert, Arizona.

He provides a variety of outpatient services, including Suboxone®, for patients addicted to prescription opioids, fentanyl, and heroin. He also offers intranasal Ketamine for those with treatment resistant depression.

Dr. Grabner earned his medical degree at St. Luke University in Porto Velho, Brazil. He then came to the United States and completed a residency in General Psychiatry at The University of Texas Rio Grande Valley. For two consecutive years he was elected Chief Resident, where he served helping develop the Residency Program, supervision of other residents and administrative issues.

Robert Rymowicz is a Board Certified Addiction Psychiatrist, he attended medical school at Western University of Health Sciences, and completed his residency training in psychiatry at Rutgers New Jersey Medical School, where he served as chief resident. Robert completed the Psychoanalytic Association of New York's fellowship in psychoanalysis during his final year of residency training, and then obtained further subspeciality training at UCLA, where he completed a fellowship in addiction psychiatry. Robert serves on the American Psychiatric Association's Council on Addiction Psychiatry, and as a representative to the board of directors of the American Academy of Addiction Psychiatry.

Jared Brink, PMHNP-BC, is a board-certified psychiatric mental health nurse practitioner at 2nd Chance. He sees patients from the practice’s locations in Arrowhead and Surprise, Arizona.  

Raised in Northern Arizona, Jared started his healthcare journey with a Bachelor’s degree in Kinesiology from Arizona State University (ASU), graduating in 2007. He worked in the physical therapy field for a time and then found his true passion after graduating from ASU with a degree in nursing in 2012. Over the years, Jared has developed a keen desire to help people who are hurting, both physically and mentally. 

Working as an acute care ICU nurse for years, it was extremely satisfying providing care and compassion to people who desperately needed it. However, after joining an outpatient assertive community treatment (ACT) team helping those with severe mental illness, substance use disorders, and general mental health concerns, Jared made it his goal to become an excellent psychiatric nurse practitioner.

Jared has now taken this enthusiasm with him into the role as a provider and plans to work diligently to provide genuine care and compassion to those needing help.

Jared is an active member of the American Psychiatric Nurses Association. He obtained his Master of Science in Nursing as a Psychiatric Mental Health Nurse Practitioner from Eastern Kentucky University.

Paul Christopher Boulware, MD, is a board-certified psychiatrist. at 2nd Chance, an outpatient addiction recovery center with locations in Glendale, Phoenix, and Gilbert, Arizona. Dr. Boulware specializes in neuropsychiatry, mood disorders, cognitive decline, and dementia.

Dr. Boulware has always cared about the human condition. Before pursuing medicine, he graduated from Vanderbilt University in Nashville, Tennessee, with a Bachelor of Arts in American History and a Bachelor of Arts in English.

Dr. Boulware received his medical degree in 2002 from the University of Missouri-Kansas City School of Medicine. He went on to complete the Montgomery Internal Medicine Training Program at the University of Alabama at Birmingham. 

A passionate learner, Dr. Boulware then completed a residency in nuclear medicine at Emory University, located in Atlanta, followed by a residency in radiology at the University of Oklahoma, in Norman, Oklahoma. Finally, he practiced as a resident in psychiatry at the John Hopkins University School of Medicine in Baltimore.

Over the years, Dr. Boulware has received numerous honors for his studies and work, including the 2003 Terry Hale Intern of the Year Award at the University of Alabama at Birmingham. 

Dr. Boulware finds his work at 2nd Chance to be incredibly rewarding, and he seeks close ties with his professional community so that he can continue to help his patients recover their lives using the latest and best methods and medications. 

To that end, he’s also a member of the American Psychiatric Association, Arizona Psychiatric Society, Maryland Psychiatric Association, the Society of Nuclear Medicine, and the American Medical Association. 

Michael F. LaVarnway, DO, is a board-certified psychiatrist serving residents throughout the communities of Phoenix, Glendale, Surprise, and Gilbert, Arizona. Dr. LaVarnway brings more than 20 years of experience to 2nd Chance, where he works with individuals struggling with addiction and mental health disorders.

Dr. LaVarnway earned his Bachelor of Science in biology at the State University of New York at Plattsburgh in Plattsburgh, New York, in 1995 before enrolling in medical school. In 1999, he received his Doctorate in Osteopathic Medicine from New York College of Osteopathic Medicine of the New York Institute of Technology in Old Westbury, New York.

Four years later, Dr. LaVarnway completed a general psychiatry residency at Albany Medical Center in Albany, New York, spending an additional year on consultation and liaison, addiction psychiatry, and community-based psychiatry.

Suboxone® certified, Dr. LaVarnway treats individuals addicted to prescription opioids and heroin, alcohol, marijuana, and more. He also provides therapy for those struggling with anxiety, depression, bipolar disorder, ADHD, and other mental health disorders.

Outside of his psychiatry role at 2nd Chance, Dr. LaVarnway has served as an instructor at Boston University School of Medicine in Boston, Massachusetts, where he provided educational mentorship for physician assistants and medical students during their psychiatry rotations.

Jennifer Peterson, PMHNP-BC, is a dedicated nurse practitioner dual board-certified in psychiatry/mental health and family practice. She is proud to be a part of the skilled team at 2nd Chance, serving the communities of Surprise and Arrowhead, Arizona. 

Jennifer earned her degrees from Grand Canyon University and Liberty University. Throughout her medical career, she has gained extensive experience in a variety of settings, including substance abuse, bipolar disorder, anxiety, depression, ADHD, and PTSD, as well as management of acute and chronic medical conditions. 

At 2nd Chance Treatment Center, Jennifer treats patients of all ages, from children through adults. She has a passion for treating patients with opioid use disorder and has experience providing evidence-based treatment with Suboxone® (buprenorphine/naloxone).  

In addition to working with her patients to improve their mental health, Jennifer also enjoys teaching. In her spare time, she enjoys exploring the many wonders of Arizona with her family.

Rebecca Shaw, PMHNP- BC, is a caring, board-certified psychiatric mental health nurse practitioner who specializes in treating addiction and mental health disorders. She sees patients out of the Queen Creek and Gilbert, Arizona, offices of 2nd Chance. 

With over 10 years of experience in treating substance use and opiate use disorders, Rebecca is passionate about helping people who struggle with addiction and mental health find hope, recovery, and self-empowerment. Rebecca graduated from Eastern Kentucky University with her Masters in Nursing with a specialty in Psychiatric Mental Health. She received her BSN from Chamberlain University in 2012. 

For many years, Rebecca worked as the Director of Nursing for detox and inpatient facilities. She uses empathy and understanding to help people begin their journey into recovery while addressing relapse symptoms. She is experienced in treating young adults, adults, and geriatrics in both substance use and mental health treatment. 

As someone born and raised in Arizona, Rebecca has witnessed the growing need for increased access to mental health and addiction providers throughout the state. She is grateful to be of service and looks forward to helping people find hope and healing. 

Monica earned her RN degree from Gateway College and gained extensive experience working in various departments at local hospitals throughout Phoenix. She later attended the University of Phoenix, where she completed her Master of Science in Nursing (MSN) with a specialization as a Family Nurse Practitioner (FNP). After several years of practicing as an FNP and observing many of her patients struggle with mental health conditions, she pursued further education at Eastern Kentucky University, earning her Psychiatric Mental Health Nurse Practitioner (PMHNP) degree.

A long-time Arizona resident, Monica has lived in Phoenix for 25 years. She believes in providing holistic care by addressing not only medical and mental health needs but also assessing socioeconomic barriers and stressors that impact overall well-being. Her goal is to help individuals overcome these challenges, fostering both mental and medical stability.

When Monica isn’t working, she enjoys reading, interior and landscape design, exercising, spending time outdoors, baking, cooking, crafting, traveling, and gardening. Her greatest joy comes from spending quality time with her children and family, often visiting Disney Parks or cheering on the Arizona Diamondbacks at baseball games.

Jacinta Madu is a board-certified family Psychiatric Mental Health Nurse Practitioner (PMHNP-BC) with over 15 years of experience in mental health. I have a passion for mental health. As a PMHNP, I work with clients through compassion, empathy, respect, humility, and hope to restore dignity and reduce mental health stigma. I enjoy treating patients with all kinds of mental illness including but not limited to depression, anxiety, adhd, bipolar, and psychosis. My compassion and nonjudgmental approach working with individuals and families builds hope and reduces mental health sigma.

Hello! With over 15 years of experience in healthcare, I understand the challenges that individuals face when seeking mental health support. Drawing from my own experience with addiction and a comprehensive healthcare background, I offer a unique blend of empathy and expertise to guide you through your recovery. Though my practice concentrates on those with a dual-diagnosis, I treat patients with a variety of mental health conditions. I believe in a personalized approach to psychiatric medication management, with a focus on evidence-based treatment and individualized care. I offer flexible online appointments, designed to make it easy and convenient to manage your medication regimen. All prescriptions will be sent electronically to your preferred pharmacy, ensuring a seamless experience for you. I am devoted to helping you reach your treatment goals. Remember, your mental health matters!

Through active listening and interaction with my patients, I am able to deliver the best, compassionate and cutting edge technology-driven psychiatric care to my patient who are struggling with Depression, Anxiety, Addiction, Bipolar Disorders, Stress, Psychosis, ADHD/ADD, Alzheimers' disease, Chemical and substance dependency. I utilize modern medications, talk therapy and recent innovations in Psychiatric, behavioral and mental health care to the benefit of my patients.

Bre (like the cheese) Chamoff (She/Her) is triple board certified in pediatric primary care, pediatric critical care, and psychiatric mental health. She has been a nurse practitioner for over a decade working in various pediatric settings. She is passionate about care for kids, adolescents, and young adults. Her prescribing philosophy is meds are not first line, unless they absolutely need to be. The team effort between provider and patient is to get that spark back, let your beams shine bright, and use all options to get there. She commonly says her “drug of choice” is human connection, and this certainly bodes well for fostering a team approach with her patients to make a plan that suits them.