Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ethan Michael Yerly, RADT1

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1073388385

Ethan Michael Yerly, RADT1 is an Addiction (Substance Use Disorder) Counselor in Sacramento, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2023

Practice location Address checks out

500 22nd St
Sacramento, CA 95816-3503
Phone: (209) 748-2470
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence R1531801023 (CA)

Record details

NPI number1073388385
Entity typeIndividual (Type 1)
GenderMale
Credentials RADT1
Sole proprietorYes
NPI enumeratedNovember 16, 2023
Last updated in NPPESNovember 16, 2023
Certification dateNovember 16, 2023

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