Individual provider · Type 1 NPI

Jennie Farber Kosko, MSW SOCIAL WORK INTE

Addiction (Substance Use Disorder) Counselor · Los Angeles, CA

NPI number 1962953133 Active

Practice location

6500 Wilshire Blvd Fl 19
Los Angeles, CA 90048-4920

Fax (805) 855-4771

Mailing address

5504 Dartmouth Dr
San Jose, CA 95118-3331

Other practice locations

  • 1340 Tully Road, Suite 304, San Jose, CA 95122 · (408) 271-3900

Specialties and licenses

TaxonomyCodeLicense
Social Worker 104100000XNone listed
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XRA858809 (CA)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1962953133

Jennie Farber Kosko, MSW SOCIAL WORK INTE's National Provider Identifier is 1962953133, issued on Oct 21, 2016. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Los Angeles, CA. The record was last updated on Nov 7, 2025.