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Jacob G Russell (LAC)

Mr. Jacob G Russell (LAC) is a health care provider specializes in Counselor.

profile-icon Basic Information

Practice Location 104 Conniebrook Ln, Melbourne, AR 72556-8861, US
Practice Location Phone870-258-3305
Practice Location Fax870-258-3244
GenderMale
Specialty InCounselor
NPI ?1184799876
Entity TypeIndividual
Enumeration Date ? Nov 21, 2006
Last Update Date ? Jan 20, 2011
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).

specialty-icon Specialties & Licenses of Jacob G Russell

SpecialtySpecializationLicenseLicense State
CounselorProfessional A1101009Arkansas
Case Manager/Care Coordinator