Individual
SHAWN MICHAEL BROCKUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC-T
Contact information
Practice address
8100 E 22ND ST N STE 100, WICHITA, KS 67226-2350
(316) 201-6047
Mailing address
953 N EMERSON AVE, WICHITA, KS 67212-3155
(316) 295-9927
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
05115-T
KS
Other
Enumeration date
08/12/2025
Last updated
08/12/2025
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