JACK D WOODBURN

PORT HURON, MI
NPI1306009196
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YP2500X Counselor Professional
(Licence: MI  6401000326)
Enumeration Date2008-07-02
Last Update Date2008-07-02
Business Address
MR. JACK D WOODBURN LPC
1101 MILITARY ST
PORT HURON, MI 48060-5418
Phone number: 810-984-5575
Mailing Address
MR. JACK D WOODBURN LPC
1101 MILITARY ST
PORT HURON, MI 48060-5418
Phone number: 810-984-5575