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MR. JACK D WOODBURN LPC
NPI 1306009196
Counselor - Professional in Port Huron, MI

Active since July 02, 2008
1101 MILITARY ST, PORT HURON, MI 48060(810) 984-5575(810) 984-6433 Get Directions Write a Review

NPPES record last updated: July 2, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Jack D Woodburn Lpc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. JACK D WOODBURN LPC (NPI 1306009196) is an individual professional provider in Port Huron, Michigan, licensed in Michigan (6401000326) and active in the NPI registry since July 2008.

NPPES Registry Identity

NPI1306009196
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameMR. JACK D WOODBURNCredential: LPC
Location Address1101 MILITARY STPort Huron, MI 48060-5418
Mailing Address1101 Military StPort Huron, MI 48060-5418 · (810) 984-5575 · Fax (810) 984-6433
Phone(810) 984-5575
Fax(810) 984-6433
Sole ProprietorNo
Enumeration DateJuly 2, 2008
✔ NPI 1306009196 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in MI · 6401000326
1101 MILITARY ST, Port Huron, MI 48060
Open in Google Maps ↗

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

COLONIAL WOODS MISSIONARY CHURCH
Clinic/Center
1101 MILITARY ST
PORT HURON, MI 48060
St. Clair County (810) 984-5575
MS. LINDA J MANG LPC
Counselor (Professional)
1101 MILITARY ST
PORT HURON, MI 48060
St. Clair County (810) 984-5575
MRS. BARBARA HELEN STOCKER MA, LPC
Counselor (Professional)
1101 MILITARY ST
PORT HURON, MI 48060
St. Clair County (810) 984-5575
MR. JONATHAN P HOWARD LMSW
Social Worker (Clinical)
1101 MILITARY ST
PORT HURON, MI 48060
St. Clair County (810) 984-5575
MRS. LAURA ALLISON GODWIN LLPC
Counselor (Professional)
1101 MILITARY ST
PORT HURON, MI 48060
St. Clair County (810) 984-5575
NANCY SCHWALM LPC
Counselor (Professional)
1101 MILITARY ST
PORT HURON, MI 48060
St. Clair County (810) 984-5575
MRS. LAURIE GOETZE LMSW, ACSW
Social Worker (Clinical)
1101 MILITARY ST
PORT HURON, MI 48060
St. Clair County (810) 984-5575
SHAWNE HELEN JOWETT LLPC
Counselor (Professional)
1101 MILITARY ST
PORT HURON, MI 48060
St. Clair County (810) 984-5575

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jack Woodburn's NPI number?

The NPI number for Jack Woodburn is 1306009196. It was assigned to this individual provider in the NPPES registry on July 2, 2008.

Where is Jack Woodburn located?

Jack Woodburn practices at 1101 Military St, Port Huron, MI 48060. The listed phone number is (810) 984-5575.

What is Jack Woodburn's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Jack Woodburn was last updated on July 2, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.