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Individual
SAGE LUNA NEBULA
Active
Individual
SAGE LUNA NEBULA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADC-II, QMHA, CRM
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
OR
Other
Enumeration date
06/02/2022
Last updated
09/19/2025
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