ETHAN MICHAEL YERLY RADT1
NPI 1073388385
Counselor - Addiction (Substance Use Disorder) in Sacramento, CA

Active since November 16, 2023
500 22ND ST, SACRAMENTO, CA 95816(209) 748-2470 Get Directions Write a Review

NPPES record last updated: November 16, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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

NPI1073388385
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameETHAN MICHAEL YERLYCredential: RADT1
Location Address500 22ND STSacramento, CA 95816-3503
Mailing Address500 22nd StSacramento, CA 95816-3503
Sole ProprietorYes
Enumeration DateNovember 16, 2023
NPPES CertifiedNovember 16, 2023
NPI 1073388385 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License Licensed in CA · R1531801023
500 22ND ST, Sacramento, CA 95816

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Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Counselor (Addiction (Substance Use Disorder))
500 22ND ST
SACRAMENTO, CA 95816
Counselor (Addiction (Substance Use Disorder))
500 22ND ST
SACRAMENTO, CA 95816
Counselor (Addiction (Substance Use Disorder))
500 22ND ST
SACRAMENTO, CA 95816
Community/Behavioral Health
500 22ND ST
SACRAMENTO, CA 95816
Community/Behavioral Health
500 22ND ST
SACRAMENTO, CA 95816
Counselor (Addiction (Substance Use Disorder))
500 22ND ST
SACRAMENTO, CA 95816
Counselor (Addiction (Substance Use Disorder))
500 22ND ST
SACRAMENTO, CA 95816
Counselor (Addiction (Substance Use Disorder))
500 22ND ST
SACRAMENTO, CA 95816
Counselor (Addiction (Substance Use Disorder))
500 22ND ST
SACRAMENTO, CA 95816
Counselor (Addiction (Substance Use Disorder))
500 22ND ST
SACRAMENTO, CA 95816
Counselor (Addiction (Substance Use Disorder))
500 22ND ST
SACRAMENTO, CA 95816
Counselor (Addiction (Substance Use Disorder))
500 22ND ST
SACRAMENTO, CA 95816
Counselor (Addiction (Substance Use Disorder))
500 22ND ST
SACRAMENTO, CA 95816
Counselor (Addiction (Substance Use Disorder))
500 22ND ST
SACRAMENTO, CA 95816
Counselor (Addiction (Substance Use Disorder))
500 22ND ST
SACRAMENTO, CA 95816
Counselor (Addiction (Substance Use Disorder))
500 22ND ST
SACRAMENTO, CA 95816
Counselor (Addiction (Substance Use Disorder))
500 22ND ST
SACRAMENTO, CA 95816
Counselor (Addiction (Substance Use Disorder))
500 22ND ST
SACRAMENTO, CA 95816
Counselor (Addiction (Substance Use Disorder))
500 22ND ST
SACRAMENTO, CA 95816
Counselor (Addiction (Substance Use Disorder))
500 22ND ST
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).