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Dr. Jade Star Fewell, PSYDASSISTANT
Psychologist in Costa Mesa, California
NPI 1780347237

Jade Star Fewell is a Psychologist based in Laguna Beach, CA. Jade Star Fewell practices in Costa Mesa, CA and has the professional credentials of PSYDASSISTANT. The NPI Number for Jade Star Fewell is 1780347237 and holds a License No. 15155 (California).

The current practice location address for Jade Star Fewell is 3151 Airway Ave Ste J2, Costa Mesa, CA and can be reached out via phone at 949-702-4677.

Location: 3151 Airway Ave Ste J2, Costa Mesa, CA, 92652-1946
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1780347237
Provider Name
Jade Star Fewell
Credential
PSYDASSISTANT
Provider Entity Type
Individual
Gender
Female
Address
3151 Airway Ave Ste J2, Costa Mesa, CA, 92652-1946
Phone Number
949-702-4677
Fax Number
Provider Enumeration Date
10/20/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3151 Airway Ave Ste J2
City
Costa Mesa
State
California
Zip
92626-4624
Phone Number
949-702-4677
Fax Number
person
Provider Business Mailing Address Details
Address
3151 Airway Ave Ste J2
City
Costa Mesa
State
California
Zip
92626-4624
Phone Number
949-702-4677
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
94026429 (California)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
-
Taxonomy
103T00000X
License No.
15155 (California)
Definition
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 adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
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