# NEBULA MARRIAGE AND FAMILY THERAPY CORP.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1538742689
- **Authorized official:** MS. YADIRA LOPEZ LMFT (MENTAL HEALTH THERAPIST/DIRECTOR)
- **Authorized official phone:** (424) 209-7912

## Contact information

- **Practice address:** 150 N SANTA ANITA AVE STE 300, ARCADIA, CA 91006-3116
- **Practice address phone:** (424) 209-7912
- **Mailing address:** 150 N SANTA ANITA AVE STE 300, ARCADIA, CA 91006-3116
- **Mailing address phone:** (424) 209-7912

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | — | NULL | Yes |
| 106H00000X | Marriage & Family Therapist | — | — | Yes |

## Other

- **Enumeration date:** 05/05/2021
- **Last updated:** 05/05/2021