Individual
TAMI C PENNINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
200 RESOURCE LN, WINDER, GA 30680-8361
(770) 733-2705
Mailing address
200 RESOURCE LANE, WINDER, GA 30680
(770) 733-2705
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC007223
GA
Other
Enumeration date
03/20/2013
Last updated
11/07/2014
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