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Organization
DISRUPTIVE THERAPY COLLECTIVE
Active
Organization
DISRUPTIVE THERAPY COLLECTIVE
Active
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
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
04/22/2026
Last updated
04/22/2026
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