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NPI Code Detail

MEDICARE: MISS JENNIFER KOSANKE-KAMP LMFT

MEDICARE: MISS JENNIFER KOSANKE-KAMP LMFT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor000915CT
2106H00000XMarriage & Family Therapist000915CT

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1000915OTHERCTLICENSE NUMBER

General Provider Information

NPI Number : 1447274329
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS JENNIFER KOSANKE-KAMP LMFT
Provider Business Mailing Address
First Line : 4 MAIN ST
Second Line :
City : NEW MILFORD
State : CT
Zip : 06776-2802
Country : US
Telephone Number : 203-470-2902
Fax Number : 860-355-8453
Provider Business Practice Location Address
First Line : 4 MAIN ST
Second Line :
City : NEW MILFORD
State : CT
Zip : 06776-2802
Country : US
Telephone Number : 203-470-2902
Fax Number : 860-355-8453
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/26/2006
Last Update Date : 01/13/2026

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Directions to “ MISS JENNIFER KOSANKE-KAMP LMFT” Practice Location

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