Woodburn, Jack D

Woodburn, Jack D is an individual health care provider with primary practice located at 1101 Military St , Port Huron MI 48060-5418. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Woodburn, Jack D can be contacted via phone (810) 984-5575.

Contact Information

Primary practice address
1101 Military St Port Huron MI 48060-5418
Phone: (810) 984-5575
Fax: (810) 984-6433
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 6401000326 Michigan

Profile Details

NPI number 1306009196
LBN Legal business name Woodburn, Jack D
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 2nd, 2008
Last updated Jul 2nd, 2008 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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