ETHAN MICHAEL YERLY

SACRAMENTO, CA
NPI1073388385
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  R1531801023)
Enumeration Date2023-11-16
Last Update Date2023-11-16
Business Address
ETHAN MICHAEL YERLY RADT1
500 22ND ST
SACRAMENTO, CA 95816-3503
Phone number: 209-748-2470
Mailing Address
ETHAN MICHAEL YERLY RADT1
500 22ND ST
SACRAMENTO, CA 95816-3503
Phone number:
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