Individual
MR. MICHAEL JAMES CASILLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
4260 STOCKTON DR, SUITE A, NORTH LITTLE ROCK, AR 72117-2915
(501) 916-9129
(501) 916-9770
Mailing address
4260 STOCKTON DR, SUITE A, NORTH LITTLE ROCK, AR 72117-2915
(501) 916-9129
(501) 916-9129
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
29549
CA
1041C0700X
Clinical Social Worker
Primary
3491-C
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
174400000X
17-OTHER SERVICES
CA
Enumeration date
09/30/2009
Last updated
12/02/2014
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