Individual provider · Type 1 NPI

Lyssa Kerrigan

Professional Counselor · San Clemente, CA

NPI number 1205344736 Active

Practice location

161 Avenida Cabrillo
San Clemente, CA 92672-4040

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X4626 (CA)

Professional Counselor: Definition to come...

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About NPI 1205344736

Lyssa Kerrigan's National Provider Identifier is 1205344736, issued on Jan 18, 2018. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in San Clemente, CA. The record was last updated on Jan 18, 2018.