Individual
BRETT SHAROCKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
11010 PRAIRIE LAKES DR STE 350, EDEN PRAIRIE, MN 55344-3801
(952) 746-2522
Mailing address
8044 BELAIR LN, EDEN PRAIRIE, MN 55347-1103
(507) 400-8635
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
305850
MN
101YM0800X
Mental Health Counselor
11496-125
WI
101YP2500X
Professional Counselor
Primary
4208
MN
Other
Enumeration date
01/03/2021
Last updated
02/06/2026
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