Individual
RUSSELL WILLIAM YEATMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CADC II
Contact information
Practice address
270 HERITAGE WALK, WOODSTOCK, GA 30188-3875
(770) 818-6065
Mailing address
270 HERITAGE WALK, WOODSTOCK, GA 30188-3875
(770) 818-6065
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
G134
GA
Other
Enumeration date
10/21/2025
Last updated
10/21/2025
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