MEDICARE: SHONESTY KUKU

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
1	101YP2500X	Professional Counselor	99410	TX

General Provider Information

NPI Number	:	1851246938
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHONESTY KUKU

Provider Business Mailing Address
First Line	:	2839 BRIGGS DR
Second Line	:
City	:	CONROE
State	:	TX
Zip	:	77301-3367
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2839 BRIGGS DR
Second Line	:
City	:	CONROE
State	:	TX
Zip	:	77301-3367
Country	:	US
Telephone Number	:	936-230-2460
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/03/2026
Last Update Date	:	03/03/2026

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Directions to “ SHONESTY KUKU ” Practice Location

Language	Start Address	Practice Location

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