Provider Demographics
NPI:1366812117
Name:ADVANCED DUI SCHOOL & COUNSELING
Entity type:Organization
Organization Name:ADVANCED DUI SCHOOL & COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/COUNSELOR
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:DEAN
Authorized Official - Last Name:YASMER
Authorized Official - Suffix:
Authorized Official - Credentials:CADC
Authorized Official - Phone:775-378-7535
Mailing Address - Street 1:1000 BIBLE WAY SUITE 66
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89502
Mailing Address - Country:US
Mailing Address - Phone:775-378-3735
Mailing Address - Fax:775-348-2762
Practice Address - Street 1:1000 BIBLE WAY STE 66
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89502-2134
Practice Address - Country:US
Practice Address - Phone:775-378-3735
Practice Address - Fax:775-348-2762
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-10-05
Last Update Date:2015-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV01539-I251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health