Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Jack D Woodburn, LPC

Individual provider Professional Counselor · NPI 1306009196

Mr. Jack D Woodburn, LPC is a Professional Counselor in Port Huron, Michigan. Licensed in Michigan. Registered with an NPI since 2008.

Licensed in
MI
In the registry since
2008
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

1101 Military St
Port Huron, MI 48060-5418
Phone: (810) 984-5575
Fax: (810) 984-6433
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 6401000326 (MI)

Record details

NPI number1306009196
Entity typeIndividual (Type 1)
GenderMale
Credentials LPC
Sole proprietorNo
NPI enumeratedJuly 2, 2008
Last updated in NPPESJuly 2, 2008

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