Organization
A SALTED LYFE
Active
Other names
SALT
Organization subpart
No
Provider details
NPI number
Authorized official
LYSSA KERRIGAN LPCC (OWNER)
(949) 682-5521
Entity
Organization
Contact information
Practice address
302 N EL CAMINO REAL STE 202, SAN CLEMENTE, CA 92672-4778
(949) 682-5521
Mailing address
302 N EL CAMINO REAL STE 202, SAN CLEMENTE, CA 92672-4778
(949) 682-5521
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
06/04/2021
Last updated
06/04/2021
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