ETHAN MICHAEL YERLY RADT1
NPI 1073388385
Counselor - Addiction (Substance Use Disorder) in Sacramento, CA
About Ethan Michael Yerly Radt1 NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ETHAN MICHAEL YERLY RADT1 (NPI 1073388385) is an individual addiction (substance use disorder) provider in Sacramento, California, licensed in California (R1531801023) and active in the NPI registry since November 2023.Information from the official NPPES registry record.
NPPES Registry Identity
Specialties & Licenses
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SACRAMENTO, CA 95816
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1073388385, enumerated as an "individual" on November 16, 2023.
The provider is located at 500 22ND ST SACRAMENTO, CA 95816 and the phone number is (209) 748-2470.
Counselor with taxonomy code 101YA0400X and a focus in Addiction (Substance Use Disorder).