Back to Search

JACOB RUSSELL, LAC

LAC

Professional Counselor

NPI: 1184799876Individual

Specialties, Licenses & Credentials

Case Manager/Care Coordinator

Case Manager/Care Coordinator

Code: 171M00000X

Professional CounselorPrimary

Counselor — Professional

Code: 101YP2500X

A1101009(AR)
Request Appointment

Contact & Hours

Address
104 CONNIEBROOK LN
MELBOURNE, AR 72556

Quick Facts

NPI
1184799876
Entity Type
Individual
Gender
Male
Medicare
Not confirmed
Specialties
2
Locations
1

Are you this provider?

Claim Your Profile