Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Lisa McMoran, ASW77052

Individual provider Counselor · NPI 1770034217

Lisa McMoran, ASW77052 is a Counselor in Perris, California. Works from 2 locations. Licensed in California.

Licensed in
CA
In the registry since
2016
Specialties on file
2
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Practice location Address checks out

23115 Rider St Bldg A
Perris, CA 92570-9723
Phone: (951) 686-8500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 710 Church St, Redlands, CA 92374-3538 — (909) 793-4508

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X · Licence ASW77052 (CA)
Counselor Taxonomy 101Y00000X

Record details

NPI number1770034217
Entity typeIndividual (Type 1)
GenderFemale
Credentials ASW77052
Sole proprietorNo
NPI enumeratedOctober 19, 2016
Last updated in NPPESOctober 4, 2019

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