Individual
TODD M BERNTSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.A., L.P.C.
Contact information
Practice address
19222 263RD ST, SHAFER, MN 55074-8717
(612) 323-3337
Mailing address
19222 263RD ST, SHAFER, MN 55074-8717
(612) 323-3337
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
01489
MN
Other
Enumeration date
01/30/2009
Last updated
11/06/2023
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