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Mr. Jacob G Russell, LAC
Professional Counselor in Melbourne, Arkansas
NPI 1184799876

Jacob G Russell is a Professional Counselor based in Oxford, AR and is specialized in Professional. Jacob G Russell practices in Melbourne, AR and has the professional credentials of LAC. The NPI Number for Jacob G Russell is 1184799876 and holds a License No. (Arkansas).

The current practice location address for Jacob G Russell is 104 Conniebrook Ln, Melbourne, AR and can be reached out via phone at 870-258-3305 and via fax at 870-258-3244.

Location: 104 Conniebrook Ln, Melbourne, AR, 72565-0097
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1184799876
Provider Name
Jacob G Russell
Credential
LAC
Provider Entity Type
Individual
Gender
Male
Address
104 Conniebrook Ln, Melbourne, AR, 72565-0097
Phone Number
870-258-3305
Fax Number
870-258-3244
Provider Enumeration Date
11/21/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
104 Conniebrook Ln
City
Melbourne
State
Arkansas
Zip
72556-8861
Phone Number
870-258-3305
Fax Number
870-258-3244
person
Provider Business Mailing Address Details
Address
104 Conniebrook Ln
City
Melbourne
State
Arkansas
Zip
72556-8861
Phone Number
870-258-3305
Fax Number
870-258-3244
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
A1101009 (Arkansas)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Other Service Providers
Classification
Case Manager/Care Coordinator
Speciality
-
Taxonomy
171M00000X
License No.
()
Definition
A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
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