Individual provider · Type 1 NPI

Jacqueline Russell, LPCA

Mental Health Counselor · Danville, KY

NPI number 1336756816 Active

About NPI 1336756816

Jacqueline Russell, LPCA's National Provider Identifier is 1336756816, issued on Sep 28, 2020. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Danville, KY. The record was last updated on Sep 28, 2020.