Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Jacob G Russell, LAC

Individual provider Case Manager/Care Coordinator · NPI 1184799876

Mr. Jacob G Russell, LAC is a Case Manager/Care Coordinator in Melbourne, Arkansas. Licensed in Arkansas. Registered with an NPI since 2006.

Licensed in
AR
In the registry since
2006
Specialties on file
2
What do these letters mean?
LAC — Licensed Associate Counselor
A counsellor practising under supervision toward full licensure. In some states the same letters mean Licensed Acupuncturist.

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Practice location Address checks out

104 Conniebrook Ln
Melbourne, AR 72556-8861
Phone: (870) 258-3305
Fax: (870) 258-3244
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence A1101009 (AR)
Case Manager/Care Coordinator Taxonomy 171M00000X

Record details

NPI number1184799876
Entity typeIndividual (Type 1)
GenderMale
Credentials LAC
Sole proprietorNo
NPI enumeratedNovember 21, 2006
Last updated in NPPESJanuary 20, 2011

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