Provider Demographics
NPI:1891442406
Name:KASBERG, CAITLIN O'CONNOR (MA)
Entity Type:Individual
Prefix:MRS
First Name:CAITLIN
Middle Name:O'CONNOR
Last Name:KASBERG
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1386 CROOKED STICK DR
Mailing Address - Street 2:
Mailing Address - City:O FALLON
Mailing Address - State:MO
Mailing Address - Zip Code:63366-5552
Mailing Address - Country:US
Mailing Address - Phone:760-212-6497
Mailing Address - Fax:
Practice Address - Street 1:1000 EDGEWATER PT STE 401
Practice Address - Street 2:
Practice Address - City:LAKE SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63367-2954
Practice Address - Country:US
Practice Address - Phone:636-442-2612
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-03-03
Last Update Date:2023-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health