Mackelvie, Ian Douglas

Mackelvie, Ian Douglas is an individual health care provider with primary practice located at 1302 11Th St , Eureka CA 95501-2029. He recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Other Service Providers / Case Manager/Care Coordinator, Student, Health Care / Student in an Organized Health Care Education/Training Program, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Mackelvie, Ian Douglas can be contacted via phone (074) 409-2887.

Contact Information

Primary practice address
1302 11Th St Eureka CA 95501-2029
Phone: (074) 409-2887
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X 62012 California
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Behavioral Health & Social Service Providers / Clinical 1041C0700X 84796 California

Profile Details

NPI number 1659651370
LBN Legal business name Mackelvie, Ian Douglas
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 25th, 2011
Last updated Aug 11th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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