Organization
OUT OF THE BOX, COUNSELING, COACHING, AND CONSULTING
Active
Organization
OUT OF THE BOX, COUNSELING, COACHING, AND CONSULTING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BERTRINA WEST PHD (CLINICAL DIRECTOR)
(678) 379-3781
Entity
Organization
Contact information
Practice address
10475 MEDLOCK BRIDGE RD STE 205, DULUTH, GA 30097-4446
(678) 379-3781
(770) 232-1326
Mailing address
10475 MEDLOCK BRIDGE RD STE 205, DULUTH, GA 30097-4446
(678) 379-3781
(770) 232-1326
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
01/31/2022
Last updated
01/31/2022
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