Individual
DR. YVONNE VICKERY PENNINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
300 WEST WIEUCA RD, BLG 2 STE 314, ATLANTA, GA 30312
(404) 255-6967
Mailing address
2760 TIMBERLINE RD NE, MARIETTA, GA 30062-1572
(404) 255-6967
(404) 843-8301
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LPC875
GA
103T00000X
Psychologist
2248
GA
106H00000X
Marriage & Family Therapist
MFT502
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0082242313
—
GA
Enumeration date
04/23/2007
Last updated
09/11/2025
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