Individual
ANTHONY JAMES YEARTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5178 ATLANTIC AVE, LONG BEACH, CA 90805-6510
(562) 218-1868
Mailing address
11750 EUCLID ST APT 102, GARDEN GROVE, CA 92840-2241
(714) 819-1520
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
RT1434100326
CA
175T00000X
Peer Specialist
Primary
MPSS-MQLRXZ
CA
Other
Enumeration date
08/21/2025
Last updated
06/17/2026
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