Individual provider · Type 1 NPI

Ethan Michael Yerly, RADT1

Addiction (Substance Use Disorder) Counselor · Sacramento, CA

NPI number 1073388385 Active

Practice location

500 22nd St
Sacramento, CA 95816-3503

Call (209) 748-2470 Map

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XR1531801023 (CA)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1073388385

Ethan Michael Yerly, RADT1's National Provider Identifier is 1073388385, issued on Nov 16, 2023. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Sacramento, CA. The record was last updated on Nov 16, 2023.