# JEROME C BERNDT

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1770705337
- **Gender:** Man
- **Credential:** LICSW & LMFT

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 104100000X | Social Worker | 00563 | MN | — |
| 106H00000X | Marriage & Family Therapist | 36 | MN | Yes |

## Other

- **Enumeration date:** 05/03/2007
- **Last updated:** 05/20/2008
