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Dr. Andrea Wagner
Addiction (Substance Use Disorder) Psychologist in Newport Beach, California
NPI 1366995078

Andrea Wagner is an Addiction (Substance Use Disorder) Psychologist based in Newport Beach, CA and is specialized in Addiction (Substance Use Disorder). Andrea Wagner practices in Newport Beach, CA. The NPI Number for Andrea Wagner is 1366995078 and holds a License No. (California).

The current practice location address for Andrea Wagner is 456 Old Newport Blvd, Newport Beach, CA and can be reached out via phone at 949-447-8257.

Location: 456 Old Newport Blvd, Newport Beach, CA, 92663-4211
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1366995078
Provider Name
Andrea Wagner
Credential
Provider Entity Type
Individual
Gender
Female
Address
456 Old Newport Blvd, Newport Beach, CA, 92663-4211
Phone Number
949-447-8257
Fax Number
Provider Enumeration Date
07/28/2016
Last Update Date
06/15/2024
institution
Provider Business Practice Location Address Details
Address
456 Old Newport Blvd
City
Newport Beach
State
California
Zip
92663-4211
Phone Number
949-447-8257
Fax Number
person
Provider Business Mailing Address Details
Address
456 Old Newport Blvd
City
Newport Beach
State
California
Zip
92663-4211
Phone Number
949-447-8257
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Addiction (Substance Use Disorder)
Taxonomy
103TA0400X
License No.
(California)
Definition
A psychologist with a proficiency that involves the application of psychological treatment of addiction stemming from the use of alcohol and other psychoactive substances (e.g., nicotine, marijuana, cocaine, heroin) or behavioral addictions (e.g., gambling) with the aim of cessation or reduction of use and/or the amelioration of emotional, behavioral, interpersonal and other problems arising from the addictive behavior.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Clinical
Taxonomy
103TC0700X
License No.
32730 (California)
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
person
Provider's Taxonomy Details 3
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Forensic
Taxonomy
103TF0200X
License No.
()
Definition
A psychologist whose specialty is characterized by activities primarily intended to provide professional psychological expertise within the judicial and legal systems.
person
Provider's Taxonomy Details 4
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Intellectual & Developmental Disabilities
Taxonomy
103TM1800X
License No.
(California)
Definition
Definition to come...
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