Individual provider · Type 1 NPI

Jade Star Fewell, PSY.D.ASSISTANT

Psychologist · Costa Mesa, CA

NPI number 1780347237 Active

Practice location

3151 Airway Ave Ste J2
Costa Mesa, CA 92626-4624

Call (949) 702-4677 Map

Mailing address

PO Box 1946
Laguna Beach, CA 92652-1946

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X15155 (CA)
Psychologist Primary 103T00000X94026429 (CA)

Psychologist: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustmen…

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About NPI 1780347237

Jade Star Fewell, PSY.D.ASSISTANT's National Provider Identifier is 1780347237, issued on Oct 20, 2021. The primary taxonomy on file is Psychologist (103T00000X), and the practice location is in Costa Mesa, CA. The record was last updated on Dec 26, 2021.