Individual
BERENICE CASILLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CTA
Contact information
Practice address
333 W NORFOLK AVE STE 201, NORFOLK, NE 68701-5221
(402) 379-2030
(402) 379-3933
Mailing address
333 W NORFOLK AVE STE 201, NORFOLK, NE 68701-5221
(402) 379-2030
(402) 379-3933
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/31/2023
Last updated
10/03/2025
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