Individual
BLAYNE COLEY WEST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
115 OLD CARTERSVILLE RD, ROCKMART, GA 30153-2788
(770) 235-7506
Mailing address
115 OLD CARTERSVILLE RD, ROCKMART, GA 30153-2788
(770) 235-7506
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
LPC008157
GA
Other
Enumeration date
01/02/2025
Last updated
01/02/2025
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