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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