Provider Demographics
NPI:1023817137
Name:LOBER, CASEY L (LPC)
Entity type:Individual
Prefix:
First Name:CASEY
Middle Name:L
Last Name:LOBER
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3418 WEXFORD DR
Mailing Address - Street 2:
Mailing Address - City:SAINT CHARLES
Mailing Address - State:MO
Mailing Address - Zip Code:63303-6676
Mailing Address - Country:US
Mailing Address - Phone:636-232-8364
Mailing Address - Fax:
Practice Address - Street 1:1000 LAKE SAINT LOUIS BLVD STE 224
Practice Address - Street 2:
Practice Address - City:LAKE ST LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63367-2946
Practice Address - Country:US
Practice Address - Phone:314-392-9584
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-11
Last Update Date:2025-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2024018859101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional