Provider Demographics
NPI:1881979946
Name:STELL, MACDONALD REID (LMHC)
Entity type:Individual
Prefix:MR
First Name:MACDONALD
Middle Name:REID
Last Name:STELL
Suffix:
Gender:M
Credentials:LMHC
Other - Prefix:MR
Other - First Name:REID
Other - Middle Name:
Other - Last Name:STELL
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LMHC
Mailing Address - Street 1:14535 BEL-RED RD
Mailing Address - Street 2:SUITE 202
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98007
Mailing Address - Country:US
Mailing Address - Phone:206-457-3038
Mailing Address - Fax:206-858-9206
Practice Address - Street 1:14535 BEL-RED RD
Practice Address - Street 2:SUITE 202
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98007
Practice Address - Country:US
Practice Address - Phone:206-457-3038
Practice Address - Fax:206-858-9206
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-19
Last Update Date:2022-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH 60425029101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA2127456Medicaid
WA2035234Medicaid
WALH60425029OtherLMHC LICENSE NUMBER