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Organization
DISRUPTIVE THERAPY COLLECTIVE FOR THE INDIVIDUAL, FAMILY, AND CHILD
Active
Organization
DISRUPTIVE THERAPY COLLECTIVE FOR THE INDIVIDUAL, FAMILY, AND CHILD
Active
Other names
Disruptive Therapy Collective
Organization subpart
No
Provider details
NPI number
Authorized official
ALICE BUI LMFT (CEO)
(408) 365-4238
Entity
Organization
Contact information
Practice address
1769 PARK AVE STE 250, SAN JOSE, CA 95126-2030
(408) 365-4238
Mailing address
1769 PARK AVE STE 250, SAN JOSE, CA 95126-2030
(408) 365-4238
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
07/06/2023
Last updated
03/06/2026
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