Individual provider · Type 1 NPI

Jack D. Woodburn, LPC

Professional Counselor · Port Huron, MI

NPI number 1306009196 Active

Practice location

1101 Military St
Port Huron, MI 48060-5418

Fax (810) 984-6433

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X6401000326 (MI)

Professional Counselor: Definition to come...

15 other providers at this address

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About NPI 1306009196

Jack D. Woodburn, LPC's National Provider Identifier is 1306009196, issued on Jul 2, 2008. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Port Huron, MI. The record was last updated on Jul 2, 2008.