Individual
LYSSA KERRIGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
161 AVENIDA CABRILLO, SAN CLEMENTE, CA 92672-4040
(949) 682-5521
Mailing address
161 AVENIDA CABRILLO, SAN CLEMENTE, CA 92672-4040
(949) 682-5521
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4626
CA
Other
Enumeration date
01/18/2018
Last updated
01/18/2018
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