MR. Jacob G Russell, LAC is a professional counselor in Melbourne, AR. MR. Jacob G Russell, LAC NPI is 1184799876. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
104 CONNIEBROOK LN
MELBOURNE, AR
ZIP 72556-861
Phone: (870) 258-3305
Fax: (870) 258-3244
The enumeration date for this NPI number is 11/21/2006 and was last updated on 1/20/2011.