person
Mr. Jack D Woodburn, LPC
Professional Counselor in Port Huron, Michigan
NPI 1306009196

Jack D Woodburn is a Professional Counselor based in Port Huron, MI and is specialized in Professional. Jack D Woodburn practices in Port Huron, MI and has the professional credentials of LPC. The NPI Number for Jack D Woodburn is 1306009196 and holds a License No. 6401000326 (Michigan).

The current practice location address for Jack D Woodburn is 1101 Military St, Port Huron, MI and can be reached out via phone at 810-984-5575 and via fax at 810-984-6433.

Location: 1101 Military St, Port Huron, MI, 48060-5418
person
Provider Profile Details
NPI Number
1306009196
Provider Name
Jack D Woodburn
Credential
LPC
Provider Entity Type
Individual
Gender
Male
Address
1101 Military St, Port Huron, MI, 48060-5418
Phone Number
810-984-5575
Fax Number
810-984-6433
Provider Enumeration Date
07/02/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1101 Military St
City
State
Zip
48060-5418
Phone Number
810-984-5575
Fax Number
810-984-6433
person
Provider Business Mailing Address Details
Address
1101 Military St
City
State
Zip
48060-5418
Phone Number
810-984-5575
Fax Number
810-984-6433
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
6401000326 (Michigan)
Definition
Definition to come...
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