Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dominique Churnetski-Hayes

Individual provider Counselor · NPI 1811639396

Dominique Churnetski-Hayes is a Counselor in San Jose, California. Licensed in California. Registered with an NPI since 2022.

Licensed in
CA
In the registry since
2022
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Practice location Address checks out

25 N 14th St
San Jose, CA 95112-6204
Phone: (510) 696-5810
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X · Licence 10Y00000X (CA)

Record details

NPI number1811639396
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 13, 2022
Last updated in NPPESApril 13, 2022
Certification dateApril 13, 2022

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