Individual
MRS. JESSICA R MCCASLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LIMHP, LMHP
Contact information
Practice address
255 S 10TH AVE STE 101, BROKEN BOW, NE 68822-2018
(308) 381-7487
Mailing address
255 S 10TH AVE STE 101, PO BOX 204, BROKEN BOW, NE 68822-2018
(308) 381-7487
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
3397
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025452100
—
NE
01
—
600014201
MAGELLAN HEALTH SERVICES
NE
01
—
98431
BCBS
NE
Enumeration date
01/31/2007
Last updated
11/21/2022
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