Individual provider · Type 1 NPI

Russell William Yeatman, CADC II

Addiction (Substance Use Disorder) Counselor · Woodstock, GA

NPI number 1306713722 Active

Practice location

270 Heritage Walk
Woodstock, GA 30188-3875

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XG134 (GA)

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

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About NPI 1306713722

Russell William Yeatman, CADC II's National Provider Identifier is 1306713722, issued on Oct 21, 2025. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Woodstock, GA. The record was last updated on Oct 21, 2025.