Individual
IAN DOUGLAS MACKELVIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1817 QUEEN ANNE AVE N STE 202, SEATTLE, WA 98109-2876
(707) 440-9288
Mailing address
1817 QUEEN ANNE AVE N STE 202, SEATTLE, WA 98109-2876
(707) 440-9288
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
62012
CA
1041C0700X
Clinical Social Worker
Primary
84796
CA
1041C0700X
Clinical Social Worker
LW61573386
WA
Other
Enumeration date
08/25/2011
Last updated
08/20/2025
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