Organization · Type 2 NPI

Disruptive Therapy Collective

Mental Health Counselor · San Jose, CA

NPI number 1083559314 Active

Practice location

1769 Park Ave Ste 250
San Jose, CA 95126-2030

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

7 other providers at this address

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About NPI 1083559314

Disruptive Therapy Collective's National Provider Identifier is 1083559314, issued on Apr 22, 2026. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in San Jose, CA. The record was last updated on Apr 22, 2026.